Subependymal giant cell astrocytoma secondary prevention: Difference between revisions
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==Overview== | ==Overview== | ||
Effective measures for the secondary prevention of subependymal giant cell astrocytoma include brain imaging, preferably [[MRI|magnetic resonance imaging]] with and without contrast, which should be performed every 1 to 3 years until the age of 25 years in every patient with [[tuberous sclerosis]].<ref name="RothRoach2013">{{cite journal|last1=Roth|first1=Jonathan|last2=Roach|first2=E. Steve|last3=Bartels|first3=Ute|last4=Jóźwiak|first4=Sergiusz|last5=Koenig|first5=Mary Kay|last6=Weiner|first6=Howard L.|last7=Franz|first7=David N.|last8=Wang|first8=Henry Z.|title=Subependymal Giant Cell Astrocytoma: Diagnosis, Screening, and Treatment. Recommendations From the International Tuberous Sclerosis Complex Consensus Conference 2012|journal=Pediatric Neurology|volume=49|issue=6|year=2013|pages=439–444|issn=08878994|doi=10.1016/j.pediatrneurol.2013.08.017}}</ref> | |||
==Secondary Prevention== | ==Secondary Prevention== | ||
Effective measures for the secondary prevention of subependymal giant cell astrocytoma include: | Effective measures for the secondary prevention of subependymal giant cell astrocytoma include:<ref name="RothRoach2013">{{cite journal|last1=Roth|first1=Jonathan|last2=Roach|first2=E. Steve|last3=Bartels|first3=Ute|last4=Jóźwiak|first4=Sergiusz|last5=Koenig|first5=Mary Kay|last6=Weiner|first6=Howard L.|last7=Franz|first7=David N.|last8=Wang|first8=Henry Z.|title=Subependymal Giant Cell Astrocytoma: Diagnosis, Screening, and Treatment. Recommendations From the International Tuberous Sclerosis Complex Consensus Conference 2012|journal=Pediatric Neurology|volume=49|issue=6|year=2013|pages=439–444|issn=08878994|doi=10.1016/j.pediatrneurol.2013.08.017}}</ref> | ||
*Brain imaging, preferably [[MRI|magnetic resonance imaging]] with and without contrast, should be performed every 1 to 3 years until the age of 25 years in every patient with [[tuberous sclerosis]]. | *Brain imaging, preferably [[MRI|magnetic resonance imaging]] with and without contrast, should be performed every 1 to 3 years until the age of 25 years in every patient with [[tuberous sclerosis]]. | ||
*Follow-up [[MRI|magnetic resonance imaging]] may not be needed every 3 years, but intervals may be prolonged in the presence of a stable lesion and a stable patient. | *Follow-up [[MRI|magnetic resonance imaging]] may not be needed every 3 years, but intervals may be prolonged in the presence of a stable lesion and a stable patient. | ||
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:*New onset of symptoms such as [[headache]], [[visual loss|visual complaints]], [[nausea]], [[vomiting]], or increase in [[seizure|seizure activity]] should trigger an earlier MRI scan. | :*New onset of symptoms such as [[headache]], [[visual loss|visual complaints]], [[nausea]], [[vomiting]], or increase in [[seizure|seizure activity]] should trigger an earlier MRI scan. | ||
:*Similarly, a growing subependymal giant cell astrocytoma should prompt a more frequent clinical and radiological follow-up. | :*Similarly, a growing subependymal giant cell astrocytoma should prompt a more frequent clinical and radiological follow-up. | ||
==Reference== | ==Reference== | ||
{{reflist|2}} | {{reflist|2}} | ||
Revision as of 05:46, 6 November 2015
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Sujit Routray, M.D. [2]
Overview
Effective measures for the secondary prevention of subependymal giant cell astrocytoma include brain imaging, preferably magnetic resonance imaging with and without contrast, which should be performed every 1 to 3 years until the age of 25 years in every patient with tuberous sclerosis.[1]
Secondary Prevention
Effective measures for the secondary prevention of subependymal giant cell astrocytoma include:[1]
- Brain imaging, preferably magnetic resonance imaging with and without contrast, should be performed every 1 to 3 years until the age of 25 years in every patient with tuberous sclerosis.
- Follow-up magnetic resonance imaging may not be needed every 3 years, but intervals may be prolonged in the presence of a stable lesion and a stable patient.
- Screening and follow-up scans frequency should be tailored according to various clinical factors.
- New onset of symptoms such as headache, visual complaints, nausea, vomiting, or increase in seizure activity should trigger an earlier MRI scan.
- Similarly, a growing subependymal giant cell astrocytoma should prompt a more frequent clinical and radiological follow-up.
Reference
- ↑ 1.0 1.1 Roth, Jonathan; Roach, E. Steve; Bartels, Ute; Jóźwiak, Sergiusz; Koenig, Mary Kay; Weiner, Howard L.; Franz, David N.; Wang, Henry Z. (2013). "Subependymal Giant Cell Astrocytoma: Diagnosis, Screening, and Treatment. Recommendations From the International Tuberous Sclerosis Complex Consensus Conference 2012". Pediatric Neurology. 49 (6): 439–444. doi:10.1016/j.pediatrneurol.2013.08.017. ISSN 0887-8994.