Patients with primary brain tumors often experience seizures, which can be the presenting symptom or occur for the first time at any point along the illness trajectory. In addition to causing morbidity, seizures negatively affect independence and quality of life in other ways, for example, by leading to loss of driving privileges. Long-term therapy with antiepileptic drugs (AEDs) is the standard of care in brain tumor patients with seizures, but the role of prophylactic AEDs in seizure-naive patients remains controversial. In this article, experts in the field discuss the issues of AED efficacy and toxicity, and explain their differing recommendations for routine use of prophylactic AEDs.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7716178 | PMC |
http://dx.doi.org/10.1093/nop/npaa026 | DOI Listing |
Medicine (Baltimore)
July 2024
Pharmaceutical Services Department, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
The use of prophylactic antiepileptic drugs (AEDs) post-subarachnoid hemorrhage (SAH), particularly aneurysmal SAH, is controversial, with limited data available. This has led the new American Heart Association/American Stroke Association (AHA/ASA) guidelines to recommend against using AEDs. This study is aimed at determining whether the use of AEDs for primary prophylaxis is effective in reducing the incidence of seizures post-SAH.
View Article and Find Full Text PDFJ Surg Res
August 2024
Department of Surgery, Uniformed Services University of the Health Sciences, Bethesda, Maryland.
Introduction: Post-traumatic seizures (PTSs) contribute to morbidity after traumatic brain injury (TBI). Early PTS are rare in combat casualties sustaining TBI, but the prevalence of late PTS is poorly described. We sought to define the prevalence and risk factors of late PTS in combat casualties with computed tomography evidence of TBI.
View Article and Find Full Text PDFJ Cancer Res Ther
April 2024
Department of Radiation Oncology, China Medical University Hospital, China Medical University, Taichung, Taiwan.
Introduction: There are emerging but inconsistent evidences about anti-epileptic drugs (AEDs) as radio- or chemo-sensitizers to improve survival in glioblastoma patients. We conducted a nationwide population-based study to evaluate the impact of concurrent AED during post-operative chemo-radiotherapy on outcome.
Material And Methods: A total of 1057 glioblastoma patients were identified by National Health Insurance Research Database and Cancer Registry in 2008-2015.
World Neurosurg
March 2024
Penn State Department of Neurosurgery, Hershey, Pennsylvania, USA; Penn State Cancer Institute, Hershey, Pennsylvania, USA.
Background: Brain metastasis (BM) prognosis is incredibly poor and is often associated with considerable morbidity. Seizures are commonly present in these patients, and their biopsychosocial impact can be dangerous. The use of antiepileptic drugs (AEDs) as primary prophylaxis remains controversial.
View Article and Find Full Text PDFDiagnostics (Basel)
November 2023
Department of Neurosurgery, São Paulo University, Sao Paulo 05508-220, Brazil.
Background: Seizures in the early postoperative period may impair patient recovery and increase the risk of complications. The aim of this study is to determine whether there is any advantage in postoperative seizure prophylaxis following meningioma resection.
Methods: This systematic review was conducted in accordance with PRISMA guidelines.
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