How is tuberous sclerosis treated in children?

Patient's question:

Lately, I don't know why I can't sleep, which greatly affects my work efficiency. My friend recommended that I see a neurology doctor. How is tuberous sclerosis treated in children?

Doctor's answer:

Neurofibromatosis is a genetic disorder that affects the skin and nervous system, among other organs, primarily characterized by hypopigmented macules, facial angiofibromas, epilepsy, and intellectual disability. The prognosis of this condition depends on the extent and severity of organ involvement. Patients who develop symptoms during infancy generally have a poorer prognosis, with 3% dying within the first year, 28% dying by age 10, and 75% dying before age 25. Common causes of death include epilepsy and secondary infections, with occasional deaths resulting from tumors, heart failure, or pulmonary fibrosis. For older children and young adults who only exhibit skin manifestations and epilepsy, the prognosis remains uncertain.

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