P.087 The landscape of paediatric tuberous sclerosis complex (TSC) neurological care in canada: results from a national survey
نویسندگان
چکیده
Background: Tuberous Sclerosis Complex (TSC) is a genetic disease that affects multiple body systems with the neurological manifestations causing greatest burden. The objective of this study was to understand scope TSC care delivery across Canada. Methods: A survey developed after literature review and discussion amongst two Paediatric Epileptologists one Nurse Practitioner expertise in TSC. Canadian Neurologists participated via an anonymous web-based through League Against Epilepsy (CLAE) Neurological Sciences Federation (CNSF). Results: Fifty-eight responses were received. dedicated clinic reported by 24% (n=14). Sixty percent (n= 35) preforming serial screening EEG monitoring infants 58% 34) started prophylactic therapy when abnormalities occurred. Vigabatrin used 37% (n=21). For management drug-resistant epilepsy, surgery as preferred therapeutic option 57% (n=32) respondents. Barriers treatment identified lack multi-disciplinary care, unfamiliarity new therapies insufficient resources. Conclusions: Our findings demonstrate variability patients With few clinics, there need for establishment national network support clinical practice, research education.
منابع مشابه
The genomic landscape of tuberous sclerosis complex
Tuberous sclerosis complex (TSC) is a rare genetic disease causing multisystem growth of benign tumours and other hamartomatous lesions, which leads to diverse and debilitating clinical symptoms. Patients are born with TSC1 or TSC2 mutations, and somatic inactivation of wild-type alleles drives MTOR activation; however, second hits to TSC1/TSC2 are not always observed. Here, we present the geno...
متن کاملTuberous sclerosis complex (TSC) gene involvement in sporadic tumours.
In tuberous sclerosis patients, inactivation of the tuberous sclerosis complex tumour-suppressor genes TSC1 and TSC2 contributes to the development of a wide range of hamartomatous lesions. These patients do not, however, show an increased risk of the common adult solid cancers. Recent evidence that the TSC genes play a role in the phosphoinositide 3-kinase pathway, a pathway whose dysregulatio...
متن کاملTuberous sclerosis complex: a review of neurological aspects.
Tuberous sclerosis complex is characterized by hamartomatous lesions involving skin, brain, kidneys, eyes and heart. Pathologically, tuberous sclerosis is a disorder of cell migration, proliferation and differentiation. Cell lineage and cell migration disorders in the developing cortex of tuberous sclerosis complex patients might produce very different neurological phenotypes including epilepsy...
متن کاملTherapeutic Trial of Metformin and Bortezomib in a Mouse Model of Tuberous Sclerosis Complex (TSC)
Tuberous sclerosis complex (TSC) is a human genetic disorder in which loss of either TSC1 or TSC2 leads to development of hamartoma lesions, which can progress and be life-threatening or fatal. The TSC1/TSC2 protein complex regulates the state of activation of mTORC1. Tsc2(+/-) mice develop renal cystadenoma lesions which grow progressively. Both bortezomib and metformin have been proposed as p...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: Canadian Journal of Neurological Sciences
سال: 2022
ISSN: ['2057-0155', '0317-1671']
DOI: https://doi.org/10.1017/cjn.2022.183