Seizures in a 9 month old girl

doi:10.1136/bmj.b4133

Published 21 October 2009, doi:10.1136/bmj.b4133
Cite this as: BMJ 2009;339:b4133

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Seizures in a 9 month old girl

Lawrence Armstrong, paediatric specialist registrar, Valerie Orr, paediatric specialist registrar

¹ Royal Hospital for Sick Children, Yorkhill, Glasgow G3 8SJ

Correspondence to: lawrence.armstrong@nhs.net

The first 150 words of the full text of this article appear below.

A 9 month old girl presented to hospital in status epilepticus.Seizures were focal, affecting the right side, with secondarygeneralisation. She had no history of seizures. She was knownto have an asymptomatic cardiac rhabdomyoma in the region ofthe left ventricular outflow tract. This had been diagnosedduring investigation of a cardiac murmur detected during routinenewborn examination. Her neurodevelopment was normal. Computedtomography was performed after resuscitation and stabilisation(fig 1).

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Fig 1 Computed tomogram of the brain

1 What are the major abnormalities shown on the computed tomographyscan?

2.On the basis of these appearances and the medical history,whatis the underlying diagnosis?

3 How should seizures associatedwith this condition be managed?

4 What is the neurodevelopmentalprognosis for the child?

1 The computed tomogram shows multiple areas of low attenuationinthe subcortical and deep white matter, and discrete fociof. . . [Full text of this article]

Diagnostic criteria for tuberous sclerosis¹