Tuberous sclerosis in a 17-year-old female

Authors

  • Ernesto D. Golez III, MD Sentro Oftalmologico Jose Rizal University of the Philippines–Philippine General Hospital Manila, Philippines Author
  • Richard C. Kho, MD Sentro Oftalmologico Jose Rizal University of the Philippines–Philippine General Hospital Manila, Philippines Author

Abstract

Objective: To report a classic case of tuberous sclerosis complex.

Methods: This is a case report.

Results: A 17-year-old female presented with bilateral blurring of vision with left temporal headaches and seizures. Physical examination showed she had adenoma sebaceum, ash-leaf spots, and shagreen patches. Computed tomography revealed hydrocephaly, tubers, and subependymal nodules while magnetic resonance imaging revealed a giant-cell astrocytoma, later confirmed through histopathologic examination. Renal ultrasound showed findings consistent with an angiomyolipoma. Ophthalmologic findings included left cortical cataract, papillidema, and retinal astrocytoma.

Conclusion: The findings were consistent with tuberous sclerosis.

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Published

2005-09-01

Issue

Section

BRIEF REPORTS