Letter to the Editor

Tuberous Sclerosis and Neurocysticercosis

Authors: Viroj Wiwanitkit, MD

Abstract

To the Editor:


I read the recent publication on tuberous sclerosis (TS) and neurocysticercosis with great interest.1 Nandhagopal concluded that “cerebral tubers could be mistaken for perilesional edema of cysticercal cysts, especially if the clinical features of TS were subtle and not carefully looked for.”1 This report is a very interesting case. I have a simple question regarding the seizure in this case: was it from TS or neurocysticercosis, or both? There is no doubt that TS can be asymptomatic in a newborn, but it is not likely in children.2 Also, the development of neurocysticercosis takes time and very rarely occurs in newborns. It is questionable whether asymptomatic TS and neurocysticercosis can co-exist or not. The diagnostic pitfall for a disease in comorbidity can be expected, but it might not be the case in subtle TS.


Viroj Wiwanitkit, MD


Wiwanitkit House


Bangkhae, Bangkok, Thailand

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References

1. Nandhagopal R. Coexistence of cerebral tubers with neurocysticercosis. South Med J 2010;103:953–955.
 
2. Riquet A, Cuisset JM, Cuvellier JC, et al. Characteristics of tuberous sclerosis in children. Arch Pediatr 2010;17:1338–1345.