Objective: Tuberous sclerosis complex (TSC) is a rare autosomal dominant disorder that affects multiple organ systems. TSC is characterized by benign tubers that grow in the brain, heart, retinas, skin, lungs, and kidneys, and typically associated with epilepsy. Pediatric patients with TSC often struggle with cognitive impairment that can make school and everyday functioning a challenge. Method: The patient is a Hispanic 9-year-old female, first diagnosed with TSC during gestation. The patient had poorly controlled seizures from age 3 months to 6 years. Neuroimaging revealed multiple tubers, and a subependymal nodule in the left foramen of Monroe. Results: Neuropsychological assessment demonstrates low average full scale IQ (FSIQ = 87). Academic skills were on grade level. Cognitively, the patient demonstrated severely impaired right hand fine motor dexterity, poor verbal skills (e.g., phonemic fluency, verbal memory, expressive vocabulary knowledge, listening comprehension), and moderately impaired response inhibition. The patient showed a strength regarding...

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