What is Tuberous Sclerosis?

Tuberous Sclerosis (TS) can be like having epilepsy, cancer, autism, kidney disease, heart disease and mental disability all rolled into one.  It is a genetic disease that is variable, even in the same family.  Some individuals may have every symptom of the disease and be very limited in their abilities, while others may only have mild symptoms and lead healthy and productive lives.  Living with Tuberous Sclerosis can be like walking through a minefield, never knowing when another symptom of the disease will appear.

Beginning at the approximate age of three months, our daughter Sarah would occasionally close her eyes and touch her chin to her chest.  We did not realize that these minor, infrequent movements were seizures.  At the age of nine months we noticed an increase in the frequency of the movements, so we took Sarah to her pediatrician and later a neurologist.  The neurologist viewed a videotape of Sarah’s “movements” and immediately stated she was having seizures.  He then noticed a two-inch, white, birthmark on the back of Sarah’s thigh and stated that she might have Tuberous Sclerosis.  Magnetic Resonance Imaging (MRI) showing scattered, small brain tumors confirmed that Sarah had TS.  Because of the wide range of symptoms, many TS cases go unrecognized, undiagnosed or misdiagnosed.  There may be many more people with Tuberous Sclerosis than we think.  The lack of awareness of this disease became apparent when Sarah’s pediatrician informed us she had never heard of Tuberous Sclerosis.

The disease is characterized by benign tumors that form on the brain, heart, kidney, lungs, eyes and skin. In most TS cases, the tumors do not require surgery.  Because these tumors vary in size and location, TS symptoms range from an individual having no symptoms to having seizures, varying degrees of mental disabilities, and/or premature death.  Sarah is a happy 2nd grader now who, so far, has had mild symptoms.  She has some learning and behavior disabilities and has been diagnosed with “high-functioning autism.”  Sarah is fortunate in that her seizures were first controlled with medication and then the seizures disappeared.  She has not needed anti-seizure medication for almost five years.  Every two years, Sarah has a complete exam to determine that tumors are not forming in serious locations in her brain or other organs. 

There is no cure for TS.  The two genes that cause the disease have been identified and researchers are developing a diagnostic genetic test.  There is hope that ongoing research will provide more answers and treatments for Tuberous Sclerosis.  Scientists believe that TS research may also provide answers related to kidney cancer, breast cancer, epilepsy, autism and many neurological disorders.

The month of May has been designated National Tuberous Sclerosis Awareness Month to bring greater recognition of the disease.  Additional information about Tuberous Sclerosis can be obtained by visiting the National Tuberous Sclerosis Association (NTSA) web site at www.ntsa.org, or by calling (800) 225-ntsa (6872).  Other related informative web sites include The Epilepsy Foundation at www.efa.org and the Autism Society of America at www.autism-society.org.  


Robert Bens, April 2000

 

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