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An overview of anti-epileptic therapy management of patients with malignant tumors of the brain undergoing radiation therapy

Authors :
Bhupesh Parashar
Zartaj Ahmed
A. Gabriella Wernicke
Susan C. Pannullo
D.A. Julie
Stephen C. Karceski
Theodore H. Schwartz
Source :
Seizure. 70
Publication Year :
2019

Abstract

As our surgical, radiation, chemotherapeutic and supportive therapies for brain malignancies improve, and overall survival is prolonged, appropriate symptom management in this patient population becomes increasingly important. This review summarizes the published literature and current practice patterns regarding prophylactic and perioperative anti-epileptic drug use. As a wide range of anti-epileptic drugs is now available to providers, evidence guiding appropriate anticonvulsant choice is reviewed. A particular focus of this article is radiation therapy for brain malignancies. Toxicities and seizure risk associated with cranial irradiation will be discussed. Epilepsy management in patients undergoing radiation for gliomas, glioblastoma multiforme, and brain metastases will be addressed. An emerging but inconsistent body of evidence, reviewed here, indicates that anti-epileptic medications may increase radiosensitivity, and therefore improve clinical outcomes, specifically in glioblastoma multiforme patients.

Details

ISSN :
15322688
Volume :
70
Database :
OpenAIRE
Journal :
Seizure
Accession number :
edsair.doi.dedup.....1159563be496ff32ee5939205028a6c9