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Table 1 Evaluations for TSC diagnosis

From: Everolimus improves neuropsychiatric symptoms in a patient with tuberous sclerosis carrying a novel TSC2 mutation

Organ system

Diagnostic evaluations

Findings

Brain

Brain MRI

Multiple cortical tubers, subependymal nodules and a SEGA

 

EEG

Runs of spikes in right fronto-polar region

 

DDST-II

Delayed development in areas of fine motor-adaptive, personal-social, and language skills by 25 months on average

 

WPPSI-III

Could not get a score in any subtest

 

CARS

35.5

 

SMS

Social age: 22 months

Social quotient: 49.8

 

Speech and language evaluation

Delayed by 27 months in receptive and expressive language

Eyes

Complete ophthalmologic evaluation including dilated fundoscopy

Unremarkable

Teeth

Detailed dental exam

Unremarkable

Skin

Detailed skin exam

Scattered hypopigmented lesions

Heart

Ultrasonography

Small muscular ventricular septal defect (VSD) in the middle portion of the interventricular septum (IVS), No rhabdomyoma

 

ECG

Normal

Lung

HRCT of chest

No lymphangioleiomyomatosis (LAM)

Kidney

Blood pressure

Normal

 

Abdominal MRI

No angiomyolipoma or renal cyst

 

GFR test

Normal