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Features of clinical manifestations, diagnosis and therapy of tuberous sclerosis in children

https://doi.org/10.24412/2790-1289-2024-2-57-66

Abstract

Tuberous sclerosis is a genetic disease from the group of phacomatoses characterized by lesions of the skin, nervous system and internal organs associated with impaired proliferation, migration and
differentiation of neuroglia cells. In tuberous sclerosis, various organs are often affected, and the treatment of newly diagnosed cases of tuberous sclerosis is typically multidisciplinary, creating a challenge for the comprehensive clinical management of patients with tuberous sclerosis. Traditionally, therapy for tuberous sclerosis has primarily consisted of surgical treatment and symptomatic supportive care. However, in recent years, the concept of precision medicine has been proposed, and increasing attention is being given to molecular targeted therapy. The article describes a rare case of a genetically determined polysystem disease – Tuberous sclerosis (Bourneville-Pringle disease). Accurate diagnosis of tuberous sclerosis is of fundamental importance, therefore, the article details modern epidemiological data, genetic and clinical criteria for the diagnosis of the disease and treatment. On the example of the medical history of a patient with tuberous sclerosis, the features of the course of the clinical case are analyzed.

About the Authors

M. M. Lepesova
NEI «Kazakh-Russian medical university»
Kazakhstan

Lepesova Marzhan Makhmutovna – Doctor of Medical Sciences, Professor, Head of the Department of Neurology

Almaty



A. A. Isabekova
NEI «Kazakh-Russian medical university»
Kazakhstan

Isabekova Alma Aitakhanovna – Candidate of Medical Sciences, Senior Lecturer at the Department of Neurology

Almaty

phone: 8 (701) 747-28-02



D. A. Kuderbaeva
NEI «Kazakh-Russian medical university»
Kazakhstan

Kuderbaeva Dinara Askarovna – is a resident of the 2nd year of study in the specialty «Adult and pediatric Neurology»

Almaty



B. A. Orazaliev
NEI «Kazakh-Russian medical university»
Kazakhstan

Orazaliev Bakdaulet Abdigapbarovich – is a resident of the 2nd year of study in the specialty «Neurology adult, children's»

Almaty



References

1. Dorofeyeva, M. Yu. (ed.) (2012). Tuberous sclerosis. Moscow: Practical medicine, 240 p. (In Russian).

2. Osborne, J. P., Fryer, A., Webb, D. (1991). Epidemiology of Tuberous Sclerosis. Annals of the New York Academy of Sciences, 615, 125-128.

3. Dorofeeva, M. Yu., Strahova, O. S., Katysheva, O. V., Osipova, E. К., Chumak, О. I., Dobrynina, М. V. Tuberous sclerosis. Lechaschi Vrach. Retrived February 20, 2024, from http://www.lvrach.ru/2005/08/4532910/ (In Russian).

4. Kwiatkowski, D. J., Reeve, M. P., Cheadle, J. P., Sampson, J. R. Molecular Genetics. In: Nuberous Sclerosis complex: from Basic Science to Clinical Phenotypes. Ed: Curatolo, P. London, England: Mac Keith Press, 2003, 228-263.

5. Dorofeeva, M. Yu., Belousova, E. D. (2012). Vozmozhnosti patogeneticheskoj terapii tuberoznogo skleroza. Effective pharmacotherapy. Pediatrics, 4, 50-58 (In Russian).

6. Krueger, D. A., Northrup, H. (2013). The International Tuberous Sclerosis Complex Consensus Group. Tuberous Sclerosis Complex Surveillance and Management: Recommendations of the 2012 International Tuberous Sclerosis Complex Consensus Conference. Pediatric Neurology, 49, 255-265.

7. Jusupova, L. A., Garaeva, Z. Sh., Junusova, E. I. (ed.) (2012). Bolezn' Burnevillja – Pringlja. Lechaschi Vrach, 10, 18-21 (In Russian).

8. Curatolo, P., Moavero, R. (2015). Neurological and neuropsychiatric aspects of tuberous sclerosis complex. Lancet Neurology, 14, 733-745.

9. Luat, A. F., Makki, M., Chugani, H. T. (2007). Neuroimaging in tuberous sclerosis complex. Current Opinionin Neurology, 20, 142-150.

10. Francis, J DiMario, Jr. (2004). Brain abnormalities in tuberous sclerosis complex. Journal of Child Neurology, 19, 650-657.

11. Curatolo, P., Bombardieri, R. (2008). Tuberous sclerosis. Lancet, 372, 657-668.

12. Islam, M. P. (2015). Roach ES Tuberous sclerosis complex. Handbook of Clinical Neurology, 132, 97-109.

13. Chu-Shore, C. J., Major, P., Camposano, S., Muzykewicz, D. (2010). Thiele EA The natural history of epilepsy in tuberous sclerosis complex. Epilepsia, 51, 1236-1241.

14. Kaczorowska, M., Jurkiewicz, E., DomanskaPakiela, D., Syczewska, M., Lojszczyk, B. (2011). Cerebral tuber count and its impact on mental outcome of patients with tuberous sclerosis complex. Epilepsia, 52, 22-27.

15. Uysal, Sanem Pinar, Şahin, M. (2020). Tuberous sclerosis: a review of the past, present, and future. Turkish Journal of Medical Sciences, 50(7), 1665-1676.

16. Zhang, K., Hu, W-H, Zhang, C., Meng, F-G., Chen, N., Zhang, J-G. (2013). Predictors of seizure freedom after surgical management of tuberous sclerosis complex: a systematic review and meta-analysis. Epilepsy Research, 105, 377-383.

17. Capal, J. K., Bernardino-Cuesta, B., Horn, P. S., Murray, D., Byars, A. W. (2017). Influence of seizures on early development in tuberous sclerosis complex. Epilepsy & Behavior, 70, 245-252.

18. Jansen, F. E., Vincken, K. L., Algra, A., Anbeek, P., Braams, O. (2008). Cognitive impairment in tuberous sclerosis complex is a multifactorial condition. Neurology, 70, 916-923.

19. Ehninger, D., Sano, Y., de Vries, P. J., Dies, K., Franz, D. (2012). Gestational immune activation and Tsc2 haploinsufficiency cooperate to disrupt fetal survival and may perturb social behavior in adult mice. Molecular Psychiatry,17, 62-70.

20. Franz, D. N., Bissler, J. J., McCormack, F. X. (2010). Tuberous sclerosis complex: Neurological, renal, and pulmonary manifestations. Neuropediatrics, 41, 199-208.

21. Sharma, M. C., Ralte, A. M., Gaekwad, S., Santosh, V., Shankar, S. K., Sarkar, C. (2004). Subependymal giant cell astrocytoma – a clinicopathological study of 23 cases with special emphasis on histogenesis. Pathology & Oncology Research, 10, 219-224.

22. Grajkowska, W., Kotulska, K., Jurkiewicz, E., Matyja, E. (2010). Brain lesions in tuberous sclerosis complex. Review. Folia Neuropathologica, 48, 139-149.


Review

For citations:


Lepesova M.M., Isabekova A.A., Kuderbaeva D.A., Orazaliev B.A. Features of clinical manifestations, diagnosis and therapy of tuberous sclerosis in children. Actual Problems of Theoretical and Clinical Medicine. 2024;(2):57-67. (In Russ.) https://doi.org/10.24412/2790-1289-2024-2-57-66

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ISSN 2790-1289 (Print)
ISSN 2790-1297 (Online)