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Cortical tubers

MedGen UID:
369896
Concept ID:
C1968959
Finding
HPO: HP:0009717

Definition

Cortical tubers in the brain are hamartomatous lesions typically located at the gray-white matter interface, commonly in the frontal and parietal lobes. Cortical tubers are composed of abnormal glial and neural cells, and the size, number, and location vary among patients. [from HPO]

Conditions with this feature

Autosomal dominant polycystic kidney disease type 1 with tuberous sclerosis
MedGen UID:
325000
Concept ID:
C1838327
Disease or Syndrome
Disease with characteristics of early-onset severe polycystic kidney disease with various manifestations of tuberous sclerosis (multiple angiomyolipomas, lymphangioleiomyomatosis and periventricular calcifications of the central nervous system). A contiguous gene syndrome caused by a large deletion involving both the PKD1 and TSC2 genes (16p13.3). Transmission is autosomal dominant.
Tuberous sclerosis 1
MedGen UID:
344288
Concept ID:
C1854465
Disease or Syndrome
Tuberous sclerosis complex (TSC) involves abnormalities of the skin (hypomelanotic macules, confetti skin lesions, facial angiofibromas, shagreen patches, fibrous cephalic plaques, ungual fibromas); brain (subependymal nodules, cortical tubers, and subependymal giant cell astrocytomas [SEGAs], seizures, intellectual disability / developmental delay, psychiatric illness); kidney (angiomyolipomas, cysts, renal cell carcinomas); heart (rhabdomyomas, arrhythmias); and lungs (lymphangioleiomyomatosis [LAM], multifocal micronodular pneumonocyte hyperplasia). Central nervous system tumors are the leading cause of morbidity and mortality; renal disease is the second leading cause of early death.
Tuberous sclerosis 2
MedGen UID:
348170
Concept ID:
C1860707
Disease or Syndrome
Tuberous sclerosis complex (TSC) involves abnormalities of the skin (hypomelanotic macules, confetti skin lesions, facial angiofibromas, shagreen patches, fibrous cephalic plaques, ungual fibromas); brain (subependymal nodules, cortical tubers, and subependymal giant cell astrocytomas [SEGAs], seizures, intellectual disability / developmental delay, psychiatric illness); kidney (angiomyolipomas, cysts, renal cell carcinomas); heart (rhabdomyomas, arrhythmias); and lungs (lymphangioleiomyomatosis [LAM], multifocal micronodular pneumonocyte hyperplasia). Central nervous system tumors are the leading cause of morbidity and mortality; renal disease is the second leading cause of early death.

Professional guidelines

PubMed

Bekiesinska-Figatowska M, Sobieraj P, Pasieczna M, Szymkiewicz-Dangel J
AJNR Am J Neuroradiol 2023 Sep;44(9):1070-1076. Epub 2023 Aug 3 doi: 10.3174/ajnr.A7952. PMID: 37536734Free PMC Article
Northrup H, Aronow ME, Bebin EM, Bissler J, Darling TN, de Vries PJ, Frost MD, Fuchs Z, Gosnell ES, Gupta N, Jansen AC, Jóźwiak S, Kingswood JC, Knilans TK, McCormack FX, Pounders A, Roberds SL, Rodriguez-Buritica DF, Roth J, Sampson JR, Sparagana S, Thiele EA, Weiner HL, Wheless JW, Towbin AJ, Krueger DA; International Tuberous Sclerosis Complex Consensus Group
Pediatr Neurol 2021 Oct;123:50-66. Epub 2021 Jul 24 doi: 10.1016/j.pediatrneurol.2021.07.011. PMID: 34399110
Curatolo P, Napolioni V, Moavero R
J Child Neurol 2010 Jul;25(7):873-80. Epub 2010 Mar 5 doi: 10.1177/0883073810361789. PMID: 20207609

Recent clinical studies

Etiology

Almuqbil M, Aldoohan W, Alhinti S, Almahmoud N, Abdulmajeed I, Alkhodair R, Kashgari A, Baarmah D, Altwaijri W, Alrumayyan A
Neurosciences (Riyadh) 2024 May;29(2):113-121. doi: 10.17712/nsj.2024.2.20230061. PMID: 38740395Free PMC Article
Northrup H, Aronow ME, Bebin EM, Bissler J, Darling TN, de Vries PJ, Frost MD, Fuchs Z, Gosnell ES, Gupta N, Jansen AC, Jóźwiak S, Kingswood JC, Knilans TK, McCormack FX, Pounders A, Roberds SL, Rodriguez-Buritica DF, Roth J, Sampson JR, Sparagana S, Thiele EA, Weiner HL, Wheless JW, Towbin AJ, Krueger DA; International Tuberous Sclerosis Complex Consensus Group
Pediatr Neurol 2021 Oct;123:50-66. Epub 2021 Jul 24 doi: 10.1016/j.pediatrneurol.2021.07.011. PMID: 34399110
Okanishi T, Fujimoto A, Okanari K, Baba S, Ichikawa N, Nishimura M, Enoki H
Epilepsy Behav 2019 Sep;98(Pt A):228-232. Epub 2019 Aug 5 doi: 10.1016/j.yebeh.2019.06.007. PMID: 31394351
Shahid A
Epilepsia 2013 Dec;54 Suppl 9:135-8. doi: 10.1111/epi.12458. PMID: 24328887
Curatolo P, Napolioni V, Moavero R
J Child Neurol 2010 Jul;25(7):873-80. Epub 2010 Mar 5 doi: 10.1177/0883073810361789. PMID: 20207609

Diagnosis

Arredondo KH, Jülich K, Roach ES
Semin Pediatr Neurol 2024 Oct;51:101155. Epub 2024 Sep 14 doi: 10.1016/j.spen.2024.101155. PMID: 39389658
Northrup H, Aronow ME, Bebin EM, Bissler J, Darling TN, de Vries PJ, Frost MD, Fuchs Z, Gosnell ES, Gupta N, Jansen AC, Jóźwiak S, Kingswood JC, Knilans TK, McCormack FX, Pounders A, Roberds SL, Rodriguez-Buritica DF, Roth J, Sampson JR, Sparagana S, Thiele EA, Weiner HL, Wheless JW, Towbin AJ, Krueger DA; International Tuberous Sclerosis Complex Consensus Group
Pediatr Neurol 2021 Oct;123:50-66. Epub 2021 Jul 24 doi: 10.1016/j.pediatrneurol.2021.07.011. PMID: 34399110
Manoukian SB, Kowal DJ
AJR Am J Roentgenol 2015 May;204(5):933-43. doi: 10.2214/AJR.13.12235. PMID: 25905927
Curatolo P
Childs Nerv Syst 1996 Sep;12(9):515-21. doi: 10.1007/BF00261603. PMID: 8906365
DiPaolo D, Zimmerman RA
AJNR Am J Neuroradiol 1995 Jun-Jul;16(6):1360-4. PMID: 7677041Free PMC Article

Therapy

Rajasekaran NM, Horo S, Kuriakose T
Indian J Ophthalmol 2019 Mar;67(3):433-435. doi: 10.4103/ijo.IJO_925_18. PMID: 30777981Free PMC Article
Takia L, Jat KR, Mandal A, Kabra SK
BMJ Case Rep 2018 Nov 8;2018 doi: 10.1136/bcr-2018-226244. PMID: 30413450Free PMC Article
Yang J, Bassuk AG, Merl-Pham J, Hsu CW, Colgan DF, Li X, Au KS, Zhang L, Smemo S, Justus S, Nagahama Y, Grossbach AJ, Howard MA 3rd, Kawasaki H, Feldstein NA, Dobyns WB, Northrup H, Hauck SM, Ueffing M, Mahajan VB, Tsang SH
Hum Mol Genet 2016 Oct 1;25(19):4201-4210. Epub 2016 Aug 11 doi: 10.1093/hmg/ddw253. PMID: 27516388Free PMC Article
Romanelli P, Verdecchia M, Rodas R, Seri S, Curatolo P
Pediatr Neurol 2004 Oct;31(4):239-47. doi: 10.1016/j.pediatrneurol.2004.05.012. PMID: 15464634
Curatolo P
Childs Nerv Syst 1996 Sep;12(9):515-21. doi: 10.1007/BF00261603. PMID: 8906365

Prognosis

Pantalone G, Mancardi MM, Rossi A, Romanelli R, Marasco E, Carla M
Am J Med Genet A 2024 Aug;194(8):e63611. Epub 2024 Mar 25 doi: 10.1002/ajmg.a.63611. PMID: 38528425
Vannicola C, Tassi L, Barba C, Boniver C, Cossu M, de Curtis M, De Palma L, D'Errico I, Didato G, Guerrini R, La Briola F, Luisi C, Mai R, Mari F, Marras C, Mastrangelo M, Peron A, Specchio N, Toldo I, Turner K, Vignoli A, Canevini MP
J Neurol Sci 2021 Aug 15;427:117506. Epub 2021 May 21 doi: 10.1016/j.jns.2021.117506. PMID: 34087568
Ikeno M, Okumura A, Abe S, Igarashi A, Hisata K, Shoji H, Shimizu T
Pediatr Int 2016 Jan;58(1):58-61. Epub 2015 Dec 29 doi: 10.1111/ped.12738. PMID: 26712128
Reyes D, Prayson R
J Clin Neurosci 2015 May;22(5):907-8. Epub 2015 Feb 9 doi: 10.1016/j.jocn.2014.12.001. PMID: 25677876
Mizuguchi M, Takashima S
Brain Dev 2001 Nov;23(7):508-15. doi: 10.1016/s0387-7604(01)00304-7. PMID: 11701246

Clinical prediction guides

Singh R, Peer S, Wander A
Neurol Sci 2024 Aug;45(8):4091-4093. Epub 2024 Apr 19 doi: 10.1007/s10072-024-07523-7. PMID: 38637341
Vannicola C, Tassi L, Barba C, Boniver C, Cossu M, de Curtis M, De Palma L, D'Errico I, Didato G, Guerrini R, La Briola F, Luisi C, Mai R, Mari F, Marras C, Mastrangelo M, Peron A, Specchio N, Toldo I, Turner K, Vignoli A, Canevini MP
J Neurol Sci 2021 Aug 15;427:117506. Epub 2021 May 21 doi: 10.1016/j.jns.2021.117506. PMID: 34087568
Fujiwara H, Leach JL, Greiner HM, Holland-Bouley KD, Rose DF, Arthur T, Mangano FT
Epilepsy Res 2016 Oct;126:90-7. Epub 2016 Jul 16 doi: 10.1016/j.eplepsyres.2016.07.005. PMID: 27450371
Tsai JD, Wei CC, Tsao TF, Hsiao YP, Tsai HJ, Yang SH, Tsai ML, Sheu JN
Childs Nerv Syst 2016 Jan;32(1):89-95. Epub 2015 Nov 9 doi: 10.1007/s00381-015-2947-4. PMID: 26552385
Bollo RJ, Berliner JL, Fischer I, Miles DK, Thiele EA, Zagzag D, Weiner HL
J Neurosurg Pediatr 2009 Jul;4(1):85-90. doi: 10.3171/2009.3.PEDS08225. PMID: 19569916

Recent systematic reviews

Nie JZ, Karras CL, Trybula SJ, Texakalidis P, Alden TD
Neurosurg Focus 2022 May;52(5):E6. doi: 10.3171/2022.2.FOCUS21789. PMID: 35535822
Jansen FE, van Huffelen AC, Algra A, van Nieuwenhuizen O
Epilepsia 2007 Aug;48(8):1477-84. Epub 2007 May 1 doi: 10.1111/j.1528-1167.2007.01117.x. PMID: 17484753

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