Tuberous sclerosis presenting with confusion and agitation.

摘要

A 59-year-old lady with a background of moderate-to-severe learning difficulties and epilepsy was admitted with confusion and agitation. Her medication consisted of diazepam 10 mg TDS and phenytoin 100 mg TDS. On inspection she had an ery-thematous nasolabial rash. Examination of her cardiovascular, respiratory and abdominal systems was unremarkable. Of note in her neurological examination were absent knee-jerk reflexes.