Neuroimaging correlation with neurological severity in tuberous sclerosis complex

I. Jun Chou, Kuang Lin Lin, Alex M. Wong, Huei Shyong Wang*, Min Liang Chou, Po Cheng Hung, Meng Ying Hsieh, Ming Yu Chang

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

31 Scopus citations

Abstract

Objective: To delineate the relationship between neurological severity and neuroimage of lesion load including specific topography of supratentorial cortical tubers and white matter lesions in tuberous sclerosis complex (TSC). Methods: Twenty-five TSC patients more than 2 years of age who underwent conventional and fluid-attenuated inversion recovery sequence (FLAIR) magnetic resonance imaging (MRI) were retrospectively studied. Neurological severity score was designated for three items: seizure, developmental delay and/or mental retardation, and autism. A neuroimaging scoring system was designed to evaluate the load of the cerebrum lesions with respect to location and size of cortical tubers and white matter lesions based on FLAIR MRI. Results: A linear trend was observed between MRI lesion score and neurological severity score (r=0.511; p=0.009). The lesion score in the left temporal lobe has positive correlation to neurological severity score (r=0.609; p=0.001). Conclusions: The brain lesion load was positively correlated with neurological prognosis in TSC patients. Patients with larger lesion load in the left temporal lobe may be correlated with increased neurological severity in right-handed patients with TSC.

Original languageEnglish
Pages (from-to)108-112
Number of pages5
JournalEuropean Journal of Paediatric Neurology
Volume12
Issue number2
DOIs
StatePublished - 03 2008
Externally publishedYes

Keywords

  • Neuroimaging
  • Neurological severity
  • Tuberous sclerosis complex

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