也应该对 TSC 儿童的父母进行疾病评估。 如果无法对父母进行评估或如果存在父母其中之一出现罹患 TSC 的可能性,则应对无症状的兄弟姐妹进行评估。[25]Northrup H, Krueger DA; International Tuberous Sclerosis Complex Consensus Group. Tuberous sclerosis complex diagnostic criteria update: recommendations of the 2012 International Tuberous Sclerosis Complex Consensus Conference. Pediatr Neurol. 2013 Oct;49(4):243-54.http://www.pedneur.com/article/S0887-8994(13)00490-6/fulltexthttp://www.ncbi.nlm.nih.gov/pubmed/24053982?tool=bestpractice.com
在 60% 接受评估的患者中,妊娠 18-20 周的产前超声可识别严重的结构异常,可能包括见于 TSC 患者的致命性心脏横纹肌瘤、多囊肾病或中枢神经系统病灶。[26]Crane JP, LeFevre ML, Winborn RC, et al. A randomized trial of prenatal ultrasonographic screening: impact on the detection, management, and outcome of anomalous fetuses. The RADIUS Study Group. Am J Obstet Gynecol. 1994 Aug;171(2):392-9.http://www.ncbi.nlm.nih.gov/pubmed/8059817?tool=bestpractice.com 当胎儿的结构性异常被识别时,建议转诊至适当的第三超声科。 可指示对胎儿和父母进行进一步评估以帮助识别潜发性 TSC。[27]Gagnon A, Wilson RD, Allen VM, et al; Society of Obstetricians and Gynaecologists of Canada. Evaluation of prenatally diagnosed structural congenital anomalies. J Obstet Gynaecol Can. 2009 Sep;31(9):875-881.http://sogc.org/wp-content/uploads/2013/01/gui234CO09091.pdfhttp://www.ncbi.nlm.nih.gov/pubmed/19941713?tool=bestpractice.com