Evidence map›Paper›PMID 36769603›Full record

ReviewJournal of clinical medicine2023

Subependymal Giant Cell Astrocytomas in Tuberous Sclerosis Complex-Current Views on Their Pathogenesis and Management.

Chao Gao, Bernadeta Zabielska, Fuyong Jiao, Daoqi Mei, Xiaona Wang, Katarzyna Kotulska, Sergiusz Jozwiak

Abstract readReview
In one paragraph

Review in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–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

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Insights into Tuberous Sclerosis Complex : From Genes to Clinics.Journal of Korean Neurosurgical Society · 2025
    Article
  7. Review
  8. Review
  9. Pediatric-Like Brain Tumors in Adults.Advances and technical standards in neurosurgery · 2024
    Review
  10. 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

7 authors.

Chao GaoDepartment of Rehabilitation Medicine, Henan Children's Hospital, Children's Hospital Affiliated to Zhengzhou University, Zhengzhou 450018, China.ORCID 0000-0003-3897-9288
Bernadeta ZabielskaFaculty of Medicine, Medical University of Warsaw, 02-091 Warsaw, Poland.
Fuyong JiaoPediatric Neurology Section, Children's Hospital of Shaanxi Provincial People's Hospital, Xi'an 710068, China.
Daoqi MeiDepartment of Neurology, Henan Children's Hospital, Children's Hospital Affiliated to Zhengzhou University, Zhengzhou 450018, China.
Xiaona WangHenan Key Laboratory of Children's Genetics and Metabolic Diseases, Henan Children's Hospital, Children's Hospital Affiliated to Zhengzhou University, Zhengzhou 450018, China.
Katarzyna KotulskaDepartment of Neurology and Epileptology, The Children's Memorial Health Institute, 04-730 Warsaw, Poland.
Sergiusz JozwiakFaculty of Medicine, Medical University of Warsaw, 02-091 Warsaw, Poland.ORCID 0000-0003-3350-6326

Funding

International Cooperation Project of the Ministry of Science and Technology of China G2021026025LNational Agency of Academic Exchange PPN/BCN/2019/1/00066/U/00001Open Project of Henan Clinical Medical Research Center of Childhood Diseases YJZX202205Special Key Project of Henan Province Traditional Chinese Medicine Scientific Research 20-21ZY1072
6 · The paper itself

Abstract

Introduction, Tuberous sclerosis complex (TSC) is an autosomal-dominant disorder caused by mutations inactivating TSC1 or TSC2 genes and characterized by the presence of tumors involving many organs, including the brain, heart, kidneys, and skin. Subependymal giant cell astrocytoma (SEGA) is a slow-growing brain tumor almost exclusively associated with TSC. STATE OF THE ART: Despite the fact that SEGAs are benign, they require well-considered decisions regarding the timing and modality of pharmacological or surgical treatment. In TSC children and adolescents, SEGA is the major cause of mortality and morbidity. CLINICAL IMPLICATIONS: Until recently, surgical resection has been the standard therapy for SEGAs but the discovery of the role of the mTOR pathway and the introduction of mTOR inhibitors to clinical practice changed the therapeutic landscape of these tumors. In the current paper, we discuss the pros and cons of mTOR inhibitors and surgical approaches in SEGA treatment. FUTURE DIRECTIONS: In 2021, the International Tuberous Sclerosis Complex Consensus Group proposed a new integrative strategy for SEGA management. In the following review, we discuss the proposed recommendations and report the results of the literature search for the latest treatment directions.

Indexed as

managementmTOR inhibitorsrecommendationssubependymal giant cell astrocytoma (SEGA)tuberous sclerosis complex (TSC)

Identifiers

PMID36769603
PMCPMC9917805

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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.