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Tumor control and trigeminal dysfunction improvement after stereotactic radiosurgery for trigeminal schwannomas: a systematic review and meta-analysis

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11110%2F21%3A10423190" target="_blank" >RIV/00216208:11110/21:10423190 - isvavai.cz</a>

  • Alternative codes found

    RIV/61383082:_____/21:00001026

  • Result on the web

    <a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=8tbFHFhdj0" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=8tbFHFhdj0</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.1007/s10143-020-01433-w" target="_blank" >10.1007/s10143-020-01433-w</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    Tumor control and trigeminal dysfunction improvement after stereotactic radiosurgery for trigeminal schwannomas: a systematic review and meta-analysis

  • Original language description

    Trigeminal nerve schwannomas (TS) are uncommon intracranial tumors, frequently presenting with debilitating trigeminal and/or oculomotor nerve dysfunction. While surgical resection has been described, its morbidity and mortality rates are non-negligible. Stereotactic radiosurgery (SRS) has emerged with variable results as a valuable alternative. Here, we aimed at reviewing the medical literature on TS treated with SRS so as to investigate rates of tumor control and symptomatic improvement. We reviewed manuscripts published between January 1990 and December 2019 on PubMed. Tumor control and symptomatic improvement rates were evaluated with separate meta-analyses. This meta-analysis included 18 studies comprising a total of 564 patients. Among them, only one reported the outcomes of linear accelerators (Linac), while the others of GK. Tumor control rates after SRS were 92.3% (range 90.1-94.5; p &lt; 0.001), and tumor decrease rates were 62.7% (range 54.3-71, p &lt; 0.001). Tumor progression rates were 9.4% (range 6.8-11.9, p &lt; 0.001). Clinical improvement rates of trigeminal neuralgia were 63.5% (52.9-74.1, p &lt; 0.001) and of oculomotor nerves were 48.2% (range 36-60.5, p &lt; 0.001). Clinical worsening rate was 10.7% (range 7.6-13.8, p &lt; 0.001). Stereotactic radiosurgery for TS is associated with high tumor control rates and favorable clinical outcomes, especially for trigeminal neuralgia and oculomotor nerves. However, patients should be correctly advised about the risk of tumor progression and potential clinical worsening. Future clinical studies should focus on standard reporting of clinical outcomes.

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database

  • CEP classification

  • OECD FORD branch

    30103 - Neurosciences (including psychophysiology)

Result continuities

  • Project

  • Continuities

    V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Others

  • Publication year

    2021

  • Confidentiality

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Data specific for result type

  • Name of the periodical

    Neurosurgical Review

  • ISSN

    0344-5607

  • e-ISSN

  • Volume of the periodical

    44

  • Issue of the periodical within the volume

    5

  • Country of publishing house

    DE - GERMANY

  • Number of pages

    13

  • Pages from-to

    2391-2403

  • UT code for WoS article

    000589482200001

  • EID of the result in the Scopus database

    2-s2.0-85096014791