Question 2066
{"accessible":false,"alternatives":[{"id":10258,"text":"ataxia telangiectasia"},{"id":10255,"text":"neurofibromatosis type 1"},{"id":10259,"text":"neurofibromatosis type 2"},{"id":10256,"text":"Sturge-Weber syndrome"},{"id":10257,"text":"tuberous sclerosis"}],"archived":false,"correctAlternativeId":10257,"explanation":"\u003cp\u003eNeuroimaging features that may be associated with tuberous sclerosis complex:\u003c/p\u003e\u003cul\u003e\n\u003cli\u003ecortical/subcortical tubers\u003c/li\u003e\n\u003cli\u003ewhite matter abnormality\u003c/li\u003e\n\u003cli\u003esubependymal hamartomas\u003c/li\u003e\n\u003cli\u003esubependymal giant cell astrocytomas (SGCAs)\u003c/li\u003e\n\u003c/ul\u003e\u003cp\u003eClassic neuroimaging findings of tuberous sclerosis include subependymal nodules and cortical/subcortical tubers.\u003c/p\u003e\u003cp\u003eAtaxia\u0026nbsp;telangiectasia: neuroimaging features consist of\u0026nbsp;cerebellar vermian atrophy, enlargement of the fourth ventricle, cerebral ischemic infarct, and cerebral hemorrhagic infarct\u0026nbsp;because of ruptured telangiectatic vessels.\u003c/p\u003e\u003cp\u003eNeurofibromatosis type I: neuroimaging findings include T2 hyperintense focal areas in basal ganglia, cerebellum, and brain stem. The most common tumors include plexiform neurofibromas, orbital and brain stem gliomas, and pilocytic astrocytomas.\u003c/p\u003e\u003cp\u003eNeurofibromatosis type 2: typically associated with bilateral acoustic neuromas.\u0026nbsp;\u003c/p\u003e\u003cp\u003eSturge-Weber syndrome: neuroimaging manifestations of Sturge-Weber syndrome include cerebral lobar atrophy, brain calcifications, choroid plexus enlargement, venous abnormalities, and cranial diploic space prominence.\u003c/p\u003e","id":2066,"imageUrl":null,"imageAttribution":null,"imageAttributionCaseInfo":null,"firstQuestionPath":"/questions/2140","nextQuestionPath":"/articles/tuberous-sclerosis/questions/1621","relatedArticles":[{"id":4967,"title":"Neurofibromatosis type 2","link":"/articles/neurofibromatosis-type-2-3?lang=us"},{"id":10288,"title":"Ataxia-telangiectasia","link":"/articles/ataxia-telangiectasia-1?lang=us"},{"id":31082,"title":"Neurofibromatosis type 1 (CNS manifestations)","link":"/articles/neurofibromatosis-type-1-cns-manifestations-1?lang=us"},{"id":6605,"title":"Tuberous sclerosis (diagnostic criteria)","link":"/articles/tuberous-sclerosis-diagnostic-criteria-1?lang=us"},{"id":79973,"title":"Sturge-Weber syndrome (mnemonic)","link":"/articles/sturge-weber-syndrome-mnemonic?lang=us"}],"alsoUsedIn":[{"id":924,"kind":"Course","title":"2021 Virtual Conference Private Use - page 924","link":"https://radiopaedia.org/courses/2021-virtual-conference-private-use/pages/924"},{"id":924,"kind":"Course","title":"Radiopaedia 2021 - isoCME - page 924","link":"https://radiopaedia.org/courses/radiopaedia-2021-isocme/pages/924"}],"stem":"\u003cp\u003eA 7-year-old boy with a history of intellectual disability and seizures comes to the emergency department because of headaches and more frequently occurring seizures. CT scan of the brain shows subependymal nodules with calcification, cortical foci with loss of the grey-white matter distinction, and a nodule partially obstructing the foramen Monro. Which of the following is the most likely diagnosis?\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/2066"}],"attemptsPercentages":[{"alternativeId":"10256","percentage":3},{"alternativeId":"10257","percentage":87},{"alternativeId":"10259","percentage":3},{"alternativeId":"10258","percentage":3},{"alternativeId":"10255","percentage":4}],"promptToLogin":false,"questionManager":false,"articleId":"tuberous-sclerosis"}