Use of the mTOR inhibitor everolimus in a patient with multiple manifestations of tuberous sclerosis complex including epilepsy

Tuberous sclerosis complex (TSC) is a genetic disease in which overactivation of mechanistic target of rapamycin (mTOR) signaling leads to the growth of benign hamartomas in multiple organs, including the brain, and is associated with a high rate of epilepsy and neurological deficits. The mTOR inhib...

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Main Author: James W. Wheless
Format: Article
Language:English
Published: Elsevier 2015-01-01
Series:Epilepsy and Behavior Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2213323215000274
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spelling doaj-1839d2e2888148e4b5ea4341c2b6319a2020-11-24T21:42:05ZengElsevierEpilepsy and Behavior Case Reports2213-32322015-01-014C636610.1016/j.ebcr.2015.06.008Use of the mTOR inhibitor everolimus in a patient with multiple manifestations of tuberous sclerosis complex including epilepsyJames W. WhelessTuberous sclerosis complex (TSC) is a genetic disease in which overactivation of mechanistic target of rapamycin (mTOR) signaling leads to the growth of benign hamartomas in multiple organs, including the brain, and is associated with a high rate of epilepsy and neurological deficits. The mTOR inhibitor everolimus has been used in the treatment of subependymal giant cell astrocytomas and renal angiomyolipomas in patients with TSC. This article describes the case of a 13-year-old girl with TSC-associated epilepsy with refractory generalized seizures who initiated treatment with everolimus and experienced subsequent improvement in several TSC manifestations, including a reduction in seizure frequency from clusters of two or three daily to one every 2 to 4 weeks after 1.5 years of treatment.http://www.sciencedirect.com/science/article/pii/S2213323215000274Tuberous sclerosis complexEpilepsySeizuresEverolimusPediatricMechanistic target of rapamycin inhibitor
collection DOAJ
language English
format Article
sources DOAJ
author James W. Wheless
spellingShingle James W. Wheless
Use of the mTOR inhibitor everolimus in a patient with multiple manifestations of tuberous sclerosis complex including epilepsy
Epilepsy and Behavior Case Reports
Tuberous sclerosis complex
Epilepsy
Seizures
Everolimus
Pediatric
Mechanistic target of rapamycin inhibitor
author_facet James W. Wheless
author_sort James W. Wheless
title Use of the mTOR inhibitor everolimus in a patient with multiple manifestations of tuberous sclerosis complex including epilepsy
title_short Use of the mTOR inhibitor everolimus in a patient with multiple manifestations of tuberous sclerosis complex including epilepsy
title_full Use of the mTOR inhibitor everolimus in a patient with multiple manifestations of tuberous sclerosis complex including epilepsy
title_fullStr Use of the mTOR inhibitor everolimus in a patient with multiple manifestations of tuberous sclerosis complex including epilepsy
title_full_unstemmed Use of the mTOR inhibitor everolimus in a patient with multiple manifestations of tuberous sclerosis complex including epilepsy
title_sort use of the mtor inhibitor everolimus in a patient with multiple manifestations of tuberous sclerosis complex including epilepsy
publisher Elsevier
series Epilepsy and Behavior Case Reports
issn 2213-3232
publishDate 2015-01-01
description Tuberous sclerosis complex (TSC) is a genetic disease in which overactivation of mechanistic target of rapamycin (mTOR) signaling leads to the growth of benign hamartomas in multiple organs, including the brain, and is associated with a high rate of epilepsy and neurological deficits. The mTOR inhibitor everolimus has been used in the treatment of subependymal giant cell astrocytomas and renal angiomyolipomas in patients with TSC. This article describes the case of a 13-year-old girl with TSC-associated epilepsy with refractory generalized seizures who initiated treatment with everolimus and experienced subsequent improvement in several TSC manifestations, including a reduction in seizure frequency from clusters of two or three daily to one every 2 to 4 weeks after 1.5 years of treatment.
topic Tuberous sclerosis complex
Epilepsy
Seizures
Everolimus
Pediatric
Mechanistic target of rapamycin inhibitor
url http://www.sciencedirect.com/science/article/pii/S2213323215000274
work_keys_str_mv AT jameswwheless useofthemtorinhibitoreverolimusinapatientwithmultiplemanifestationsoftuberoussclerosiscomplexincludingepilepsy
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