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Neuroimaging Features of Tuberous Sclerosis Complex and Chiari Type I Malformation: A Rare Association.

An 8-year-old girl was admitted during the night in our emergency department for an acute episode of seizures. The patient underwent computed-tomography (CT) brain scan (Toshiba ® Aquilion 64-TSX-101A/HC) and magnetic resonance imaging (MRI) brain scan (Philips® Achieva 1.5T). CT scan showed left fr...

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Published in:Journal of Pediatric Neurosciences Vol. 13; no. 2; pp. 224 - 229
Main Authors: Grilli, Gianpaolo, Moffa, Angelo P., Perfetto, Francesco, Specchiulli, Leonardo P., Vinci, Roberta, Macarini, Luca, Zizzo, Luciano
Format: case study diagnostic images tables/charts Journal Article
Published: Wolters Kluwer India Pvt Ltd Apr-Jun2018
Online Access:View this record in EBSCOhost
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      jtl: Journal of Pediatric Neurosciences
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      dt: Apr-Jun2018
      vid: 13
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      pid: 16919
      pub: Wolters Kluwer India Pvt Ltd
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        10.4103/jpn.JPN_76_17
        130571996
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      tig:
        atl: Neuroimaging Features of Tuberous Sclerosis Complex and Chiari Type I Malformation: A Rare Association.
      aug:
        au:
          Grilli, Gianpaolo
          Moffa, Angelo P.
          Perfetto, Francesco
          Specchiulli, Leonardo P.
          Vinci, Roberta
          Macarini, Luca
          Zizzo, Luciano
        affil: Department of Radiology, University of Foggia
      sug:
        subj:
          Neuroradiography
          Tuberous Sclerosis Radiography
          Arnold-Chiari Malformation Radiography
          Female
          Child
          Patient Admission
          Emergency Service
          Acute Disease
          Seizures
          Tomography, X-Ray Computed
          Magnetic Resonance Imaging Evaluation
          Diagnosis, Brain
          Magnetic Resonance Imaging Methods
          Recovery
          Occipital Bone
          Syringomyelia Etiology
          Arnold-Chiari Malformation Complications
          Frontal Lobe
          Cerebellum Pathology
          Child: 6-12 years
          Female
      ab: An 8-year-old girl was admitted during the night in our emergency department for an acute episode of seizures. The patient underwent computed-tomography (CT) brain scan (Toshiba ® Aquilion 64-TSX-101A/HC) and magnetic resonance imaging (MRI) brain scan (Philips® Achieva 1.5T). CT scan showed left frontal calcified nodules and calcified periventricular subependymal nodules. Subsequently, MRI evaluation revealed cortical and subcortical nodules that showed low signal with respect to the white matter on T1-weighted imaging sequences and high signal both in T2-weighted imaging sequences and in fluid-attenuated inversion recovery sequences. We also showed a herniation of cerebellar tonsils through the foramen magnum (Chiari malformation Type I [CMI]) with the associated hydrosyringomyelic cavity. Our report showed a rare association between tuberous sclerosis complex and CMI.
      pubtype: Academic Journal
      doctype:
        case study
        diagnostic images
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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