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 |
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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 |
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