Tuberous Sclerosis Presenting with Hemorrhagic Stroke.

Background: Incidence of intracerebral hemorrhage in patients with tuberous sclerosis is rare, and in most of the cases it is associated with either underlying cerebrovascular malformation or hemorrhage into the subependymal giant cell astrocytoma. Case characteristics: A 2-year-old boy presented with a hemorrhagic stroke, and subsequently diagnosed as a case of tuberous sclerosis. Observation: Detailed work-up for stroke did not reveal any definite etiology. Outcome: Weakness gradually improved. Follow-up neuroimaging showed resolution of hemorrhage. Message: Clinician must be aware regarding this rare presentation of tuberous sclerosis.