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Table 3 TSC-Associated Neuropsychiatric Disorders (TAND) features reported in TOSCA at baseline

From: TuberOus SClerosis registry to increase disease Awareness (TOSCA) – baseline data on 2093 patients

TAND features

Patients with manifestation, n/patients with available data (%)

Patients with available data, n/2093 (%)

Missing data, n/2093 (%)

Behavioral difficulties

 Overactivity

317 (20.7)

1533 (73.2)

560 (26.8)

 Sleep difficulties

301 (19.5)

1540 (73.6)

553 (26.4)

 Impulsivity

297 (19.4)

1533 (73.2)

560 (26.8)

 Anxiety

205 (13.7)

1498 (71.6)

595 (28.4)

 Mood swings

201 (13.4)

1499 (71.6)

594 (28.4)

 Severe aggression

168 (10.8)

1559 (74.5)

534 (25.5)

 Depression mood

124 (8.3)

1500 (71.7)

593 (28.3)

 Self-injury

106 (6.8)

1555 (74.3)

538 (25.7)

 Obsession

92 (6.1)

1505 (71.9)

588 (28.1)

 Psychosis

34 (2.3)

1514 (72.3)

579 (27.7)

 Hallucination

23 (1.5)

1512 (72.2)

581 (27.8)

Psychiatric disorders

 ASD

291 (20.7)

1406 (67.1)

687 (32.8)

 ADHD

260 (19.6)

1329 (63.4)

764 (36.5)

 Anxiety

118 (9.1)

1294 (61.8)

799 (38.2)

 Depression

80 (6.1)

1301 (62.1)

792 (37.8)

Intellectual Abilitya

 Normal

371 (45.1)

NA

NA

 Mild ID

232 (28.2)

NA

NA

 Moderate ID

123 (15.0)

NA

NA

 Severe ID

75 (9.1)

NA

NA

 Profound ID

21 (2.6)

NA

NA

Academic difficulties

 Patients ever had difficulties in academic performance

682 (57.8)

1179 (56.3)

914 (43.7)

 Patients assessed for academic difficulties

332 (48.6% of those with reported difficulties)

332 (15.9)

NA

Neuropsychological difficulties

 Patients ever had any neuropsychological skill assessed

510 (40.1)

1270 (60.6)

823 (39.3)

 Patients with performance < 5th percentile

281 (55% of those who had neuropsychological assessment)

281 (13.4)

NA

  1. ASD autism spectrum disorder, ADHD attention deficit hyperactivity disorder, NA not applicable, TOSCA TuberOus SClerosis registry to increase disease Awareness, TAND TSC-associated neuropsychiatric disorders, ID Intellectual Disability
  2. aPatients with intellectual ability measured by intellectual quotient were available in 822 (39.3%) out of 834 patients. Intelligent ability was not measured in 752 (35.9%) patients