Correspondence
Papillomas in Goltz syndrome: case report, anaesthetic considerations, and review of the literature
A 10-year-old Caucasian female with Goltz syndrome (GS) was referred for management of ocular papillomas (Fig. 1A). She was born full-term with multiple congenital dysmorphisms, including syndactyly (Fig. 1B), ear anomalies, hearing loss, generalized vesicular rash, atrial septal defect, and developmental delay. GS was diagnosed clinically and confirmed genetically; parental genetic testing was negative. Surgical history included bilateral myringotomies, tonsillectomy and adenoidectomy for obstructive sleep apnea (OSA), right toe amputation, and multiple papilloma excisions (axilla, ears, and lips).Optic nerve giant cell astrocytoma in tuberous sclerosis complex
The retinal astrocytic hamartoma is a hallmark ophthalmic feature of tuberous sclerosis complex (TSC).1 The typical course of such tumours is a relatively slow-growing nonaggressive lesion in the retina that can be managed expectantly.2 Nonetheless, there have been several reports in the literature of aggressive astrocytic hamartomas that do not demonstrate this benign course.3 We present here a rare case of an aggressive tumour in a patient with TSC that has cell types more typical of the subependymal giant cell astrocytoma (SEGA) that is seen in the brains of such patients.
