Repeat stereotactic radiosurgery for progressive vestibular schwannomas after previous radiosurgery: a systematic review and meta-analysis

Autor: Mohamed Faouzi, Anne Balossier, Pierre-Hugues Roche, Nicolas Reyns, Mercy George, Marc Levivier, Jean Régis, Constantin Tuleasca, Roy Thomas Daniel
Přispěvatelé: Institut de Neurosciences des Systèmes (INS), Aix Marseille Université (AMU)-Institut National de la Santé et de la Recherche Médicale (INSERM), Thérapies Laser Assistées par l'Image pour l'Oncologie - U 1189 (ONCO-THAI), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Lille-Centre Hospitalier Régional Universitaire [Lille] (CHRU Lille), Hôpital Nord [CHU - APHM], Université de Lausanne = University of Lausanne (UNIL), Centre Hospitalier Universitaire Vaudois [Lausanne] (CHUV), Ecole Polytechnique Fédérale de Lausanne (EPFL), Otten, Lisa
Jazyk: angličtina
Rok vydání: 2021
Předmět:
medicine.medical_specialty
[SDV.MHEP.CHI] Life Sciences [q-bio]/Human health and pathology/Surgery
Hearing loss
medicine.medical_treatment
Review
[SDV.IB.MN]Life Sciences [q-bio]/Bioengineering/Nuclear medicine
[SDV.MHEP.CHI]Life Sciences [q-bio]/Human health and pathology/Surgery
Radiosurgery
Facial nerve
[SDV.IB.MN] Life Sciences [q-bio]/Bioengineering/Nuclear medicine
03 medical and health sciences
0302 clinical medicine
Vestibular schwannoma
Hearing
parasitic diseases
medicine
Humans
Stereotactic radiosurgery
Retrospective Studies
business.industry
Facial Nerve
Follow-Up Studies
Neuroma
Acoustic/surgery

Radiosurgery/adverse effects
Treatment Outcome
Cochlear nerve
Gamma Knife
[SCCO.NEUR]Cognitive science/Neuroscience
Cranial nerves
[SCCO.NEUR] Cognitive science/Neuroscience
Neuroma
Acoustic

General Medicine
Tumor progression
030220 oncology & carcinogenesis
Meta-analysis
Surgery
Neurology (clinical)
Radiology
Neurosurgery
medicine.symptom
business
030217 neurology & neurosurgery
Zdroj: Neurosurgical Review
Neurosurgical Review, 2021, 44 (6), pp.3177-3188. ⟨10.1007/s10143-021-01528-y⟩
Neurosurgical review, vol. 44, no. 6, pp. 3177-3188
ISSN: 0344-5607
1437-2320
DOI: 10.1007/s10143-021-01528-y⟩
Popis: Vestibular schwannomas (VS) are slow-growing intracranial extraaxial benign tumors, developing from the vestibular part of the eight cranial nerves. Stereotactic radiosurgery (SRS) has now a long-term scientific track record as first intention treatment for small- to medium-sized VS. Though its success rate is very high, SRS for VS might fail to control tumor growth in some cases. However, the literature on repeat SRS after previously failed SRS remains scarce and reported in a low number of series with a limited number of cases. Here, we aimed at performing a systematic review and meta-analysis of the literature on repeat SRS for VS. Using PRISMA guidelines, we reviewed manuscripts published between January 1990 and October 2020 and referenced in PubMed. Tumor control and cranial nerve outcomes were evaluated with separate meta-analyses. Eight studies comprising 194 patients were included. The overall rate of patients treated in repeat SRS series as per overall series with first SRS was 2.2% (range 1.2–3.2%, p 2 = 49.1%, p 2 = 89.1%, p 2 = 87.1%, p = 0.02), rarely managed surgically. New trigeminal numbness was reported in 27/170 patients, i.e., a rate of 9.9% (range 1.4–18.3%, p p = 0.004). Hearing loss was reported in 12/22 patients, i.e., a rate of 54.3% (range 24.8–83.8%, I2 = 70.7%, p
Databáze: OpenAIRE