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AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates

Case of the Week

Section Editors: Matylda Machnowska1 and Anvita Pauranik2
1University of Toronto, Toronto, Ontario, Canada
2BC Children's Hospital, University of British Columbia, Vancouver, British Columbia, Canada

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Submit a Case Previous Cases ASPNR Pediatric Cases

February 4, 2008
  • Description
  • Diagnosis
  • Brain Teaser
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Tuberous Sclerosis

  • Due to deletions/mutations in chromosomes 9q34 (encodes for hamartin) and 16p13.3 (encodes for tuberin)
  • General incidence: 1:6000 live births
  • About 80% of patients have seizures; more than 50% are mentally handicapped.
  • Cerebral hamartomas are most characteristic lesion; about 50% of them calcify; 15% percent of patients also have them in the cerebellum (their appearance varies according to age of patient and maturity of brain).
  • Subependymal hamartomas are also typical, and those in the foramina of Monro tend to become giant cell astrocyotmas.
  • DTI reveals abnormal FA and MD beyond areas of MRI abnormalities implying lesions are more extensive than previously believed.

Suggested Reading

Baron Y, Barkovich AJ. MR imaging of tuberous sclerosis in neonates and young infants. AJNR Am J Neuroradiol 1999;20:907-16.

Makki MI, Chugani DC, Janisse J, et al. Characteristics of abnormal diffusivity in normal-appearing white matter investigated with diffusion tensor MR imaging in tuberous sclerosis complex. AJNR Am J Neuroradiol 2007;28:1662-67

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American Journal of Neuroradiology: 46 (6)
American Journal of Neuroradiology
Vol. 46, Issue 6
1 Jun 2025
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Print ISSN: 0195-6108 Online ISSN: 1936-959X

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