Abstract Tuberous sclerosis is a neurocutaneous disorder with autosomal dominant inheritance. It is characterized by the triad of seizures, mental retardation, angiofibromas of the face though the triad is not always complete. We incidentally encountered a case of tuberous sclerosis in a case of hanging. He was an epileptic. Autopsy findings included unusual findings of myocardial and renal lipomata. He also had cortical thickening of bones, cortical tubers of brain, polycystic kidney disease.