Reis Filho J S, Montemór Netto M R, Loyola Netto J G, de Araújo J C, Antoniuk S, Torres L F
Serviço de Anatomia Patológica (SAP), Hospital das Clínicas da Universidade Federal do Paraná (HC/UFPR), Curitiba PR, Brasil.
Arq Neuropsiquiatr. 1998 Sep;56(3B):671-6.
Tuberous sclerosis complex is a group of autosomal disorders characterized by hamartomas and benign neoplastic lesions that invariably affect the central nervous system. We report a case of tuberous sclerosis that is the first presenting ultrastructural findings of this phacomatosis in the Latin American literature. The patient was a 2 year old girl presenting West syndrome non responsive to the clinical treatment with vigabatrin, trileptal and clonazepan, and undergoing left frontal lobectomy. The histopathological and ultrastructural findings were compatible with tuberous sclerosis. These results may help to further understand this controversial phacomatosis, warning to the clinical presentation as West syndrome.
结节性硬化症是一组常染色体疾病,其特征为错构瘤和良性肿瘤性病变,总是累及中枢神经系统。我们报告一例结节性硬化症病例,这是拉丁美洲文献中首例呈现这种错构瘤病超微结构 findings 的病例。患者是一名2岁女童,患有韦斯特综合征,对氨己烯酸、左乙拉西坦和氯硝西泮的临床治疗无反应,正在接受左额叶切除术。组织病理学和超微结构 findings 与结节性硬化症相符。这些结果可能有助于进一步了解这种有争议的错构瘤病,并提醒注意其作为韦斯特综合征的临床表现。