Managing tuberous sclerosis in the Asia-Pacific region: Refining practice and the role of targeted therapy

John A. Lawson, Chi Fung Chan, Ching Shiang Chi, Pi Chuan Fan, Heung Dong Kim, Ki Joong Kim, Surachai Likasitwatanakul, Marilyn Ortiz, Kate Riney, Stacey Kiat Hong Tay, Chee Kian Tham

Research output: Contribution to journalArticlepeer-review

8 Citations (Scopus)


Tuberous sclerosis complex (TSC) is a multisystem genetic disorder, with heterogeneous manifestations that pose major diagnostic and management challenges and incur considerable chronic disease burden on patients, their caregivers and healthcare systems. This survey of clinical practice in the Asia-Pacific region highlights priorities for improving TSC management in the region. The prevalence of TSC in non-Caucasians is uncertain and more data are needed to assess its impact and health-economic burden. There are unmet needs for access to genetic testing and earlier diagnosis and intervention. TSC management is multidisciplinary and largely based on experience, backed by international guidelines; however, physicians in the Asia-Pacific region feel isolated and lack local or regional guidance and support structures to implement best-practice. Raising awareness of TSC and increasing trans-regional collaboration are particular priorities. Understanding of TSC pathophysiology has enabled the development of targeted therapies. Encouraging data indicate that mammalian target of rapamycin (mTOR) inhibitors can ameliorate TSC-related lesions and may potentially change the treatment paradigm. Ultimately, improving outcomes for TSC patients in the region requires greater collaboration and a holistic, patient-focused, continuum of care that is maintained through the transition from pediatric to adult care.

Original languageEnglish
Pages (from-to)1180-1187
Number of pages8
JournalJournal of Clinical Neuroscience
Issue number7
Publication statusPublished - 2014 Jul

Bibliographical note

Funding Information:
The authors were members of an advisory board supported by an unrestricted educational grant from Novartis, and received honoraria from Novartis for this service. Novartis provided feedback on the survey but had no involvement in data collection, analysis, or presentation. Novartis reviewed manuscript drafts and supported the decision to publish; however, the authors had complete independence in writing and approving the paper.

Funding Information:
The Asia-Pacific South Africa Tuberous Sclerosis Advisory Board was supported by Novartis. Dr David Neil, UBM Medica Asia Pte. Ltd., provided editorial support, which was funded by Novartis.

All Science Journal Classification (ASJC) codes

  • Surgery
  • Neurology
  • Clinical Neurology
  • Physiology (medical)


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