Tuberous sclerosis with multiple intracranial aneurysms: Atypical tuberous sclerosis diagnosed in adult due to third nerve palsy

Association between tuberous sclerosis and intra - cranial aneurysms is not well established and is at best suspicious. Sporadic cases of incidentally detected unruptured single, anterior circulation aneurysms have been reported in the literature in cases of typical tuberous sclerosis. We herein describe an unrecognised case of atypical tuberous sclerosis with bilateral PCom aneurysms which was diagnosed retrospectively while evaluating an unexplained intracranial hemorrhage with third nerve palsy. We intend this case would again strengthen a possible association between TS and intracranial aneurysms and lead to a systematic larger prospective/retrospective analysis.