Tuberous Sclerosis Complex in a 7-Year-Old Child

Authors

Keywords:

children; tuberous sclerosis complex; hamartoma.

Abstract

Introduction: Tuberous sclerosis complex is a genetically determined orphan disease that has a progressive course and leads to irreversible morphological changes in various organs and systems due to the formation of multiple benign tumors (hamartomas), including the brain, eyes, skin, heart, kidneys, liver, lungs, gastrointestinal tract, endocrine and skeletal systems.

Objective: To present the clinical course and treatment of tuberous sclerosis in a 7-year-old child.

Case Report: A girl born in 2018 from the 3rd pregnancy with a birth weight of 3500 g. At the age of 11 days, she was transferred to the neonatal pathology department with a diagnosis of: Space-occupying lesion of the brain. Venous sinus thrombosis. At the age of 1 month, during a magnetic resonance imaging: signs of tuberous sclerosis. Based on the results of the genetic examination, a variant of the nucleotide sequence of exon 6 of the TSC2 gene was detected. Sabril was introduced at 1 month 24 days of age. A brain magnetic resonance imaging (MRI) scan at 4 months showed tuberous sclerosis. Everolimus 4 mg/day was introduced at 8 months. MRI scan at 6 years showed tuberous sclerosis with numerous tubercles and white matter changes along the migration pathways of the cerebral hemispheres, including a small tuber in the left cerebellar hemisphere.

Conclusions: The above clinical case of tuberous sclerosis makes it possible to focus the attention of doctors of various specialties on the features of the clinic, diagnosis and treatment of this pathology.

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References

1. Monich AG, Bissler JJ, Barreto FC. Tuberous Sclerosis Complex and the kidneys: what nephrologists need to know. J Bras Nefrol. 2024;46(3):e20240013. DOI: https://doi.org/1010.1590/2175-8239-JBN-2024-0013

2. Pfirmann P, Combe C, Rigothier C. Tuberous sclerosis complex: A review. Rev Med Interne. 2021;42(10):714-21. DOI: https://doi.org/10.1016/j.revmed.2021.03.003

3. Iqbal MI, Osman F. Neurocutaneous features of tuberous sclerosis complex: A case report from Bangladesh. Medicine (Baltimore). 2025;104(20):e42534. DOI: https://doi.org/10.1097/MD.0000000000042534

4. Portocarrero LKL, Quental KN, Samorano LP, Oliveira ZNP, Rivitti-Machado MCDM. Tuberous sclerosis complex: review based on new diagnostic criteria. An Bras Dermatol. 2018;93(3):323-31. DOI: https://doi.org/10.1590/abd1806-4841.20186972

5. Islam MP, Roach ES. Exploring Cardiovascular Involvement in Tuberous Sclerosis: Insights for Pediatric Clinicians. Tuberous sclerosis complex. Handb Clin Neurol. 2015;132:97-109. DOI: https://doi.org/10.1016/B978-0-444-62702-5.00006-8

6. Lazea C, Țaranu I, Bolboacă SD. Exploring Cardiovascular Involvement in Tuberous Sclerosis: Insights for Pediatric Clinicians. Children (Basel). 2024;11(6):674. DOI: https://doi.org/10.3390/children11060674

7. Banerjee S, Feldenberg LR. Everolimus on cystic kidney disease burden reduction in pediatric tuberous sclerosis complex patients: a case series. BMC Nephrol. 2024;25(1):376. DOI: https://doi.org/10.1186/s12882-024-03743-3

8. Li Y, Si Z, Zhao W, Xie C, Zhang X, Liu J, et al. Tuberous sclerosis complex: a case report and literature review. Ital J Pediatr.2023;49:116. DOI: https://doi.org/10.1186/s13052-023-01490-z

9. Arredondo KH, Jülich K, Roach ES. Tuberous sclerosis complex: Diagnostic features, surveillance, and therapeutic strategies. Semin Pediatr Neurol. 2024;51:101155. DOI: https://doi.org/10.1016/j.spen.2024.101155

10. Brabant PJ, Beaudreault CP, Wolf SM, McGoldrick PE, Ghatan S, Muh CR. Responsive neurostimulation of the frontal lobe for the detection and treatment of seizures in intractable epilepsy due to tuberous sclerosis complex: illustrative case. J Neurosurg Case Lessons. 2024;8(15). DOI: https://doi.org/10.3171/CASE23411

11. Northrup H, Aronow ME, Bebin EM, Bissler J, Darling TN, de Vries PJ, et al. Updated International Tuberous Sclerosis Complex Diagnostic Criteria and Surveillance and Management Recommendations. Pediatr Neurol. 2021;123:50-66. DOI: https://doi.org/10.1016/j.pediatrneurol.2021.07.011

Published

2026-04-21

How to Cite

1.
Belykh Anatolyevna N, Svirina Igorevna S, Zakharova Vladislavovna A, Piznyur Vladimirovna I. Tuberous Sclerosis Complex in a 7-Year-Old Child. Rev Cubana Pediatría [Internet]. 2026 Apr. 21 [cited 2026 Apr. 22];98. Available from: https://revpediatria.sld.cu/index.php/ped/article/view/7997