Successful everolimus therapy for SEGA in pediatric patients with tuberous sclerosis complex
Autor: | Andreza Almeida Senerchia, F. Adolfo, Sergio Cavalheiro, Priscila Mendes Paiva, Nasjla Saba, Andrea Cappellano, A. Covic, Ricardo Silva Pinho |
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Rok vydání: | 2013 |
Předmět: |
Male
medicine.medical_specialty Pediatrics Adolescent medicine.medical_treatment Antineoplastic Agents Astrocytoma Sudden death Tuberous sclerosis Tuberous Sclerosis medicine Subependymal zone Humans Everolimus Sirolimus Chemotherapy Subependymal giant cell astrocytoma Brain Neoplasms business.industry General Medicine medicine.disease Surgery Radiation therapy Child Preschool Pediatrics Perinatology and Child Health Female Neurology (clinical) Neurosurgery business medicine.drug |
Zdroj: | Child's Nervous System. 29:2301-2305 |
ISSN: | 1433-0350 0256-7040 |
Popis: | Tuberous sclerosis complex (TSC) is associated with hamartomatous growths including subependymal giant cell astrocytomas (SEGAs). Although, SEGAs are slow-growing glioneuronal tumors, they represent a significant cause of morbidity and mortality due to the risk of sudden death from acute hydrocephalus. Neurosurgical resection has been the mainstay of therapy, since radiotherapy and chemotherapy were proved inefficient in those tumors. Recent studies support the use of everolimus for subependymal giant cell astrocytomas associated with tuberous sclerosis and suggest it might represent a disease-modifying treatment for other aspects of tuberous sclerosis.We describe the clinical and radiological progression of three pediatric patients with definitive diagnosis of TSC and SEGA, which have been treated with everolimus.Up to 34 % sustained SEGA decrease was observed in the three cases. All three patients have experienced seizure control and two of them have showed cognitive and behavioral improvement. Everolimus has been well tolerated by all. No severe adverse events have been observed to date.Everolimus offers significant promise in treating SEGAs. Studies are required to explore optimal therapy duration and management upon discontinuing therapy. |
Databáze: | OpenAIRE |
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