Evidence map›Paper›PMID 36471101›Full record

ArticleNeurosurgical review2022

Long-term results of upfront, single-session Gamma Knife radiosurgery for large cystic vestibular schwannomas.

Selcuk Peker, Yavuz Samanci, Inan Erdem Ozdemir, Henricus P M Kunst, Daniëlle B P Eekers, Yasin Temel

Abstract read
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In one paragraph

Article in Neurosurgical review, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. 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

6 authors.

Selcuk PekerDepartment of Neurosurgery, School of Medicine, Koç University, Davutpasa Caddesi No. 4, 34010, Zeytinburnu, Istanbul, Turkey. peker@selcukpeker.com.ORCID http://orcid.org/0000-0003-3057-3355
Yavuz SamanciGamma Knife Center, Department of Neurosurgery, Koç University Hospital, Istanbul, Turkey.ORCID http://orcid.org/0000-0001-8952-6866
Inan Erdem OzdemirGamma Knife Center, Department of Neurosurgery, Koç University Hospital, Istanbul, Turkey.ORCID http://orcid.org/0000-0002-8153-9336
Henricus P M KunstDepartment of Otorhinolaryngology, Maastricht University Medical Center, Maastricht, The Netherlands.ORCID http://orcid.org/0000-0003-1162-6394
Daniëlle B P EekersDutch Academic Alliance Skull Base Pathology, Maastricht University Medical Center, Radboud University Medical Center, Maastricht/Nijmegen, The Netherlands.ORCID http://orcid.org/0000-0003-1917-6279
Yasin TemelSchool for Mental Health and Neuroscience (MHeNS), Maastricht University Medical Center, Maastricht, The Netherlands.ORCID http://orcid.org/0000-0002-3589-5604

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Anecdotally, cystic vestibular schwannomas (cVSs) are regarded to have unpredictable biologic activity with poorer clinical results, and most studies showed a less favorable prognosis following surgery. While stereotactic radiosurgery (SRS) is a well-established therapeutic option for small- to medium-sized VSs, cVSs are often larger, thus making upfront SRS more complicated. The purpose of this retrospective study was to assess the efficacy and safety of upfront SRS for large cVSs. The authors reviewed the data of 54 patients who received upfront, single-session Gamma Knife radiosurgery (GKRS) with a diagnosis of large cVS (> 4 cm3). Patients with neurofibromatosis type 2, multiple VSs, or recurrent VSs and < 24 months of clinical and neuroimaging follow-up were excluded. Hearing loss (48.1%) was the primary presenting symptom. The majority of cVSs were Koos grade IV (66.7%), and the most prevalent cyst pattern was "mixed pattern of small and big cysts" (46.3%). The median time between diagnosis and GKRS was 12 months (range, 1-147 months). At GKRS, the median cVS volume was 6.95 cm

Indexed as

CystsNeuroma, AcousticRadiosurgeryFollow-Up StudiesHumansRetrospective StudiesTreatment OutcomeAcoustic neuroma, cysticGamma Knife radiosurgeryHearing preservationStereotactic radiosurgeryTumor controlVestibular schwannoma

Identifiers

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Registered trials

None linked

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.