Publications by authors named "Shalom Michowitz"

Ependymoma is a malignant pediatric brain tumor, often incurable under the current treatment regimen. We aimed to evaluate the expression of microRNAs (miRs) in pediatric ependymoma tumors in an attempt to identify prognostic molecular markers which would lead to potential therapeutic targets. Following miR-array expression analysis, we focused on 9 miRs that correlated with relapse which were further validated by quantitative real-time PCR (qRT-PCR) in a cohort of 67 patients.

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Article Synopsis
  • Craniopharyngiomas (CPs) are generally benign tumors, but larger "giant" tumors (≥ 4.5 cm) tend to have a worse prognosis, which is the focus of the study.* -
  • The research involved 27 patients under 18 years old who underwent surgery for CPs, comparing outcomes between those with larger tumors and those with smaller ones over more than 12 months of follow-up.* -
  • Results indicated that patients with large tumors had higher rates of emergency surgeries, recurrent surgeries, and residual tumors post-surgery, leading to considerably lower progression-free survival rates compared to those with smaller tumors.*
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Histiocytic sarcoma is a rare, lymphohematopoietic malignant neoplasm composed of tumor cells showing morphologic and immunophenotypic features of mature tissue histiocytes. Involvement of the central nervous system (CNS) as either a part of a systemic disease or as a primary lesion has rarely been described so far. We present a case of primary CNS histiocytic sarcoma in an adult patient and review the literature on this rare entity.

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Arachnoid cysts are developmental anomalies that represent 1% of all intracranial space occupying lesions. Treatment of symptomatic cases may include shunting of the cyst or an open fenestration of it, among other less acceptable surgical procedures. Each procedure has its own pros and cons.

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An 18-month-old achondroplastic child presented with respiratory distress and severe pulmonary hypertension which was considered to be due to an atrial septal defect. The septal defect was closed via catheterization with Amplatzer occluder device, but the patient showed only mild to moderate clinical improvement. In addition, sleep monitoring study revealed apneas, oxygen desaturation and CO(2) retention; therefore, magnetic resonance imaging of the brain was performed, showing medullary compression by a stenotic foramen magnum.

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The aim of the study was to correlate the onset of epilepsy with the disease stage in children with brain tumors through treatment and follow-up in the oncologic department. The study sample consisted of a heterogenous group of 219 children who were aged 6 months to 11 years, manifested brain tumors, and had been treated and monitored in the Department of Pediatric Oncology of the Schneider Children's Medical Center of Israel since 1991. The overall rate of epilepsy was 14.

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