Evidence map›Paper›PMID 29691775›Full record

ArticleJournal of neuro-oncology2018

Cranial nerve outcomes after primary stereotactic radiosurgery for symptomatic skull base meningiomas.

Andrew Faramand, Hideyuki Kano, Ajay Niranjan, Stephen A Johnson, Mohab Hassib, Kyung-Jae Park, Yoshio Arai, John C Flickinger, L Dade Lunsford

Abstract read
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In one paragraph

Article in Journal of neuro-oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.6field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 35 citations in OpenAlex.

  1. Review
  2. Article
  3. Observational
  4. Clinical Presentation and Prognosis.Advances in experimental medicine and biology · 2023
    Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Tinnitus Management in Lateral Skull Base Lesions.Journal of neurological surgery. Part B, Skull base · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 2 countries.

Andrew FaramandDepartment of Neurological Surgery and Radiation Oncology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Hideyuki KanoDepartment of Neurological Surgery and Radiation Oncology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA. Kanoh@upmc.edu.
Ajay NiranjanDepartment of Neurological Surgery and Radiation Oncology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Stephen A JohnsonDepartment of Neurological Surgery and Radiation Oncology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Mohab HassibDepartment of Neurological Surgery and Radiation Oncology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Kyung-Jae ParkDepartment of Neurosurgery, College of Medicine, Korea University, Seoul, South Korea.
Yoshio AraiDepartment of Neurological Surgery and Radiation Oncology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
John C FlickingerDepartment of Neurological Surgery and Radiation Oncology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
L Dade LunsfordDepartment of Neurological Surgery and Radiation Oncology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Neurological Surgery · USUniversity of Pittsburgh Medical Center · USKorea University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate cranial nerve (CN) outcomes after primary stereotactic radiosurgery (SRS) for petroclival, cavernous sinus, and cerebellopontine angle meningiomas.

methodsFrom our prospectively maintained database of 2022 meningioma patients who underwent Leksell stereotactic radiosurgery (SRS) during a 30-year interval, we found 98 patients with petroclival, 242 with cavernous sinus, and 55 patients with cerebellopontine angle meningiomas. Primary radiosurgery was performed in 245 patients. Patients included in this report had at least one CN deficit at the time of initial presentation and a minimum of 12 month follow up. Median age at the time of SRS was 58 years. Median follow up was 58 months (range 12-300 months), Median tumor volume treated with SRS was 5.9 cm

resultsTumor control was achieved in 229 patients (93.5%) at a median follow up of 58 months. Progression free survival rate (PFS) after SRS was 98.7% at 1 year, 96.4% at 3 years, 93.7% at 5 years, and 86.4% at 10 years Overall, 114 of the 245 patients (46.5%) reported improvement of CN function. Patients with CP angle meningiomas demonstrated lower rates of CN improvement compared to petroclival and cavernous sinus meningioma patients. Deterioration of CN function after SRS developed in 24 patients (10%). The rate of deterioration was 2.8% at 1 year, 5.2% at 3 years, and 8% at 10 years.

conclusionPrimary SRS provides effective tumor control and favorable rate of improvement of preexisting CN deficit.

Indexed as

RadiosurgeryAdultAgedAged, 80 and overCranial Nerve DiseasesCranial NervesFemaleFollow-Up StudiesHumansMaleMeningeal NeoplasmsMeningiomaMiddle AgedProspective StudiesRadiotherapy DosageRetrospective StudiesCranial nerveMeningiomaRadiosurgerySkull base

Identifiers

PMID29691775
OpenAlexW2802618131

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.