Tuberous Sclerosis Complex: Perioperative Considerations

Putting a face on the disease. This patient with tuberous sclerosis complex has moderate mental retardation, astrocytomas, 10 additional benign brain tumors, cortical visual impairment, complex seizures, and kidney lesions. As an infant, she had open heart surgery for the removal of a cardiac rhabdomyoma. She has a tuber of the nasal cavity, numerous ash leaf spots, facial angiofibromas, dental pitting, and shagreen patches. (Figure supplied by and published with permission of Ms. Andrea Grenz.)