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并非所有结节都是一样的:结节性硬化症患儿的小脑结节。

All tubers are not created equal: Cerebellar tubers in a pediatric patient with tuberous sclerosis.

作者信息

Weerasinghe Sanjeeva, Sato Takashi S

机构信息

Carver College of Medicine, University of Iowa, Iowa City, IA, USA.

Department of Radiology, Stead Family Children's Hospital, University of Iowa, 200 Hawkins Dr. 3889 JPP, Iowa City, IA 52242 USA.

出版信息

Radiol Case Rep. 2020 Dec 18;16(3):497-499. doi: 10.1016/j.radcr.2020.12.033. eCollection 2021 Mar.

DOI:10.1016/j.radcr.2020.12.033
PMID:33363690
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7753220/
Abstract

Tuberous sclerosis complex (TSC) is a rare autosomal dominant disease characterized by multiple tumors throughout the body. Supratentorial hamartomas (or tubers), are a very common CNS feature of TSC. Cerebellar tubers are much less common in TSC. We present an interesting case of cerebellar tuber in a 14-year-old patient with TSC, highlighting clinical and diagnostic criteria for TSC and review the unique features of cerebellar tubers, differentiating these lesions from their more common supratentorial counterparts. This case serves as an educational tool to improve awareness of cerebellar tubers in patients with tuberous sclerosis.

摘要

结节性硬化症(TSC)是一种罕见的常染色体显性疾病,其特征是全身多处出现肿瘤。幕上错构瘤(或结节)是TSC非常常见的中枢神经系统特征。小脑结节在TSC中则要少见得多。我们报告了一例14岁TSC患者出现小脑结节的有趣病例,强调了TSC的临床和诊断标准,并回顾了小脑结节的独特特征,将这些病变与其更常见的幕上对应物区分开来。该病例可作为一种教育工具,以提高对结节性硬化症患者小脑结节的认识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94e3/7753220/8b50933315a2/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94e3/7753220/8b50933315a2/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94e3/7753220/8b50933315a2/gr1.jpg

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本文引用的文献

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Presentation and Diagnosis of Tuberous Sclerosis Complex in Infants.婴儿结节性硬化症的临床表现与诊断
Pediatrics. 2017 Dec;140(6). doi: 10.1542/peds.2016-4040. Epub 2017 Nov 3.
2
Cerebellar lesions are associated with TSC2 mutations in tuberous sclerosis complex: a retrospective record review study.小脑病变与结节性硬化症中的TSC2突变相关:一项回顾性记录审查研究。
Dev Med Child Neurol. 2017 Oct;59(10):1071-1076. doi: 10.1111/dmcn.13499. Epub 2017 Aug 8.
3
TuberOus SClerosis registry to increase disease Awareness (TOSCA) - baseline data on 2093 patients.
结节性硬化症疾病认知提升登记项目(TOSCA)——2093例患者的基线数据
Orphanet J Rare Dis. 2017 Jan 5;12(1):2. doi: 10.1186/s13023-016-0553-5.
4
Cerebellar lesions in children with tuberous sclerosis complex.
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5
MRI characterization and longitudinal study of focal cerebellar lesions in a young tuberous sclerosis cohort.MRI 特征分析及年轻结节性硬化症患者小脑局灶性病变的纵向研究。
AJNR Am J Neuroradiol. 2013 Mar;34(3):655-9. doi: 10.3174/ajnr.A3260. Epub 2012 Sep 6.
6
Cerebellar abnormality in children and young adults with tuberous sclerosis complex: MR and diffusion weighted imaging findings.结节性硬化症患儿和青年患者的小脑异常:磁共振和弥散加权成像的表现。
J Neuroradiol. 2010 Oct;37(4):231-8. doi: 10.1016/j.neurad.2009.12.006. Epub 2010 Apr 8.
7
Neuroimaging of tuberous sclerosis: spectrum of pathologic findings and frontiers in imaging.结节性硬化症的神经影像学:病理表现谱及影像学前沿
AJR Am J Roentgenol. 2008 May;190(5):W304-9. doi: 10.2214/AJR.07.2928.
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The pathogenesis and imaging of the tuberous sclerosis complex.结节性硬化症复合体的发病机制与影像学表现
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