| Literature DB >> 30470404 |
Johan Pallud1, Guy M McKhann2.
Abstract
The World Health Organization classifies diffuse low-grade gliomas (DLGGs) are highly epileptogenic primary brain tumors; epileptic seizures occur in more than 90% of cases. Epileptic seizures and drug resistance progress during the course of DLGGs. The glioma-related epileptogenic mechanisms are multifactorial; epileptogenic foci lie within the infiltrated peritumoral neocortex. A short seizure duration before surgery and a large extent of resection are the main predictors of postoperative seizure control in DLGGs. A supratotal resection of a DLGG can improve postoperative seizure control. Epileptic seizure at diagnosis positively affects DLGGs malignant transformation and overall survival.Entities:
Keywords: Diffuse low-grade glioma; Epileptic seizure; GABA; Glutamate; Isocitrate dehydrogenase; Mammalian target of rapamycin (mTOR); Maximal functional-based resection; Surgery
Mesh:
Year: 2018 PMID: 30470404 DOI: 10.1016/j.nec.2018.09.001
Source DB: PubMed Journal: Neurosurg Clin N Am ISSN: 1042-3680 Impact factor: 2.509