Research Article

Melatonin in Tuberous Sclerosis Complex Analysis Using Modern Mathematical Modeling Methods

Table 1

Patients’ presentation and estimated parameters of the model of melatonin secretion.

Patient 1
5 yrs 7 mo (f)
Patient 2
5 yrs (f)
Patient 3
6 yrs (f)
Patient 4
2 yrs 10 mo (f)

Family historyNonrelevantNonrelevantNonrelevantNonrelevant
Gestation, delivery periodNonrelevantNonrelevantNonrelevantNonrelevant
EpilepsySince 6 moSince 3 moSince 5 moSince 6 mo
Cognitive levelSevere
impairment
Severe
impairment
Severe
impairment
Severe impairment
EEGParoxysmal
changes R > L
Paroxysmal
changes R > L
Paroxysmal
changes R > L
Paroxysmal changes
with right fronto-centro-temporal
predominance
Average number of epileptic seizures
a day
4121
Number of epileptic seizures a day
before melatonin secretion assessment
11
Number of epileptic seizures a day
during melatonin secretion assessment
Antiepileptic drugs
(during melatonin measurement)
Valproic acid,
vigabatrin
Valproic acid,
vigabatrin
Valproic acid,
vigabatrin, levetiracetam
Valproic acid, vigabatrin
Minimum melatonin concentration (pg/mL)15.137.384.66The melatonin flux did
not take place
Melatonin release amplitude (pg/mL)250.04394.6593.45
Phase shift of melatonin release (h)4.892.662.71
Estimated sleep duration (h)5.84.58.85
Maximum melatonin concentration (pg/mL)265.17402.0398.11
(h)1.990.4122.29
(h)7.84.917.14
(h)1.2023.7921.08
(h)8.595.538.56

Time in a decimal system.