Takeaway
The notion and practice of pre-seizure electroencephalography (EEG) monitoring and epilepsy prevention in tuberous sclerosis complex (TSC) is generally implemented in most surveyed centers, despite the lack of published clinical trial results.
Why this matters
TSC is a rare, multisystem disease resulting from inactivating mutations in TSC1 or TSC2, causing tumors to form in multiple organs, in addition to severe, drug-resistant epilepsy in 70-90% of affected children; for which there should be a standardized treatment approach.
Clinicians’ standardized use of EEG monitoring and epilepsy prevention highlights awareness that early monitoring and intervention is the optimal management strategy for patients with TSC, to reduce long-term disability risk and improve outcomes as far as possible.