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Transition into adulthood: Tuberous sclerosis complex, S turge‐ W eber syndrome, and R asmussen encephalitis
Author(s) -
Thiele Elizabeth A.,
Granata Tiziana,
Matricardi Sara,
Chugani Harry T.
Publication year - 2014
Publication title -
epilepsia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.687
H-Index - 191
eISSN - 1528-1167
pISSN - 0013-9580
DOI - 10.1111/epi.12722
Subject(s) - tuberous sclerosis , epilepsy , encephalitis , multiple sclerosis , psychology , adult care , intellectual disability , medicine , young adult , neuroscience , developmental psychology , psychiatry , immunology , virus
Summary Children with tuberous sclerosis complex, Sturge‐Weber syndrome, and Rasmussen encephalitis all have complex but differing needs in the process of transition/transfer to adult care. All three may be associated with long‐term normal intelligence or a varying degree of intellectual disability. In tuberous sclerosis complex, the emphasis of care in adulthood shifts from seizure control and developmental issues to renal and psychiatric disease and other issues. In Sturge‐Weber syndrome, the emphasis shifts from seizure control and rehabilitation to management of disability and migraine. In Rasmussen encephalitis, transition may be particularly complex for those with adolescent onset. Those successfully operated on for childhood onset have a static problem and the potential to do well in life.