Is electroencephalogram surveillance routinely indicated in seizure-free patients newly diagnosed with tuberous sclerosis complex?

A 3-week-old infant is diagnosed with tuberous sclerosis complex (TSC) after cardiac rhabdomyomas are detected on prenatal ultrasound and a pathogenic variant in TSC2 is confirmed postnatally through genetic testing. The infant is seizure-free. The parents, aware of the high risk of epilepsy in TSC, ask whether regular electroencephalogram (EEG) monitoring is necessary despite the absence of clinical seizures.