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Table 3 Effect of mTOR inhibitor therapy on TSC-related manifestations and neurodevelopment

From: Safety and efficacy of mTOR inhibitor treatment in patients with tuberous sclerosis complex under 2 years of age – a multicenter retrospective study

Patient #

Reason for therapy

Effect of therapy

Development before therapy

Development at follow-up

1

SEGA

Decrease of SEGA

Normal

DD (not specified)

2

Congenital focal lymphedema

Regression of congenital focal lymphedema

DD (global)

DD (not specified)

K-ABC, WPPSI-III

3

SEGA

Decrease of SEGA

DD (motor)

Normal

SON-R

4

SEGA

Decrease of SEGA

DD (not specified)

DD (global)

MFED

5

Epilepsy

Decrease of seizure frequency

DD (not specified)

NA

6

CR

Decrease of CR

Normal

Normal

7

CR

Decrease of CR

Normal

DD (speech)

MFED

8

SEGA

No effect

DD (not specified)

DD (global)

Bayley II

9

CR / SEGA

Decrease of CR / SEGA

NA

DD (global)

10

Epilepsy

Ongoing seizures

NA

Normal

11

CR / cardiac arrhythmia

Decrease of CR

NA

DD (global)

12

SEGA

Decrease of CR / SEGA

Normal

DD (global)

Bayley II

13

CR / cardiac arrhythmia

Decrease of CR

DD (motor)

DD (motor)

Bayley II, VABS II, CBCL 1½-5, ELFRA-2

14

CR

Decrease of CR

DD (global)

DD (motor)

15

CR

Decrease of CR

Normal

NA

16

Epilepsy

Decrease of seizure frequency

DD (not specified)

DD (global)

Bayley II, GMDS

17

Epilepsy

Ongoing seizures

DD (motor)

DD (not specified)

  1. CBCL Child Behavior Checklist, CR cardiac rhabdomyoma, DD developmental delay, ELFRA Elternfragebogen für die Früherkennung von Risikokindern, GMDS Griffith Mental Developmental Scales, K-ABC Kaufman Assessment Battery for Children, MFED Münchener Funktionelle Entwicklungsdiagnostik, NA not available, SEGA subependymal giant cell astrocytoma, SON-R Snijders-Oomen non-verbal intelligence test, VABS Vineland Adaptive Behavior Scale, WPPSI Wechsler Preschool and Primary Scale of Intelligence