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A Case of Infantile Spasms in Tuberous Sclerosis with Fetal Cardiac Tumors

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초록

Tuberous sclerosis(TS), a type of neurocutaneous syndrome, is inherited in an autosomal dominant manner. Approximately 60% of children with TS have rhabdomyomas of the heart, and 40% of fetuses in whom rhabdomyomas are detected by a prenatal ultrasonography eventually end up with TS. Therefore, when multiple cardiac rhabdomyomas are detected by a fetal ultrasonography, TS should be suspected and further examination should be considered after birth. Infantile spasms is a common type of seizure among young children with TS. We describe a patient with TS who showed cardiac tumors on a fetal ultrasound. Also, hypomelanotic macules, retinal tumors, brain cortical tubers, nodules in subependymal regions, and infantile spasms was detected after birth.

Abstract

Tuberous sclerosis(TS), a type of neurocutaneous syndrome, is inherited in an autosomal dominant manner. Approximately 60% of children with TS have rhabdomyomas of the heart, and 40% of fetuses in whom rhabdomyomas are detected by a prenatal ultrasonography eventually end up with TS. Therefore, when multiple cardiac rhabdomyomas are detected by a fetal ultrasonography, TS should be suspected and further examination should be considered after birth. Infantile spasms is a common type of seizure among young children with TS. We describe a patient with TS who showed cardiac tumors on a fetal ultrasound. Also, hypomelanotic macules, retinal tumors, brain cortical tubers, nodules in subependymal regions, and infantile spasms was detected after birth.

참고문헌 (18)

  1. Osborne JP., "Diagnosis of tuberous sclerosis", Arch Dis Child, 63, pp.1423~1425 (1988)
  2. Crawford DC., "Cardiac rhabdomyomata as a marker for the antenatal detection of tuberous sclerosis", J Med Genet, 20, pp.303~312 (1983)
  3. Wallace G., "Tuberous sclerosis presenting with fetal and neonatal cardiac tumors", Arch Dis Child, 65, pp.377~379 (1990)
  4. Mühler EG., "Cardiac involvement in tuberous sclerosis", Br Heart J, 72, pp.584~590 (1994)
  5. Bourneville DM., "Sclerose tubereuse des circonvolutions cerebrales: idiotie et epilepsic hemiplegique", Arch Neurol, 1, pp.819~ (1880)
  6. Van Slegtenhors M., "Identification of the tuberous sclerosis gene TSC1 on chromosome 9q34", Science, 277, pp.805~808 (1997)
  7. "European Chromosome 16 Tuberous Sclerosis Consortium: Identification and characterization of the tuberous sclerosis gene on chromosome 16", Cell, 75, pp.1305~15 (1993)
  8. Tworetzy W., "Association between cardiac tumors and tuberous sclerosis in the fetus and neonate", Am J Cardiol, 92, pp.487~489 (2003)
  9. Wilson J., "Genetics of tuberous sclerosis", Lancet, 11, pp.340~ (1978)
  10. Fox R., "Progress in tuberous sclerosis", Lancet, 8, pp.598~599
  11. Marx GR., "Cardiac tumors in : Moss and Adams’ heart disease in infants, children and adolescents", pp.1435~1437 (2000), LWW
  12. Gamzu R., "Evaluating the risk of tuberous sclerosis in cases with prenatal diagnosis of cardiac rhabdomyoma", Prenat Diagn, 22, pp.1044~1047 (2002)
  13. Bader RS., "Fetal rhabdomyoma: prenatal diagnosis, clinical outcome, and incidence of associated tuberous sclerosis complex", J Pediatr, 143, pp.620~624 (2003)
  14. 방인국, "Supraventricular tachycardia in a neonate with cardiac rhabdomyoma and tuberous sclerosis", Korean Journal of Pediatrics, 51(7), pp.766~770 (2008), 대한소아과학회
  15. Hwang YS., "Clinical observation on tuberous sclerosis", J Korean Pediatr Soc, 34, pp.992~998 (1991)
  16. Nir A., "Tuberous sclerosis and cardiac rhabdomyoma", Am J Cardiol, 76, pp.419~421 (1995)
  17. Song YJ., "A case of tuberous sclerosis with hydrocephalus and multiple cardiac tumors in neonatal period", J Korean Pediatr Soc, 43, pp.294~299 (2000)
  18. Webb DW., "On the incidence of fits and retardation in tuberous sclerosis", J Med Genet, 28, pp.395~397 (1991)

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