Background Glioblastoma (GBM) is the most common and aggressive primary brain neoplasia in adults. Seizure is a common manifestation in GBM. Up to 25 to 60% of patients with GBM have seizures. We aim to summarize all the relevant clinical, surgical, radiologic, and molecular features of a cohort of patients suffering from GBM-related epilepsy and measure the outcome, to understand the possible existence of a clinical/phenotypical specificity of this subgroup of patients. Methods We retrospectively analyzed a cohort of 177 patients affected by isocitrate dehydrogenase wild-type (IDH-WT) GBM; 49 patients presented seizure at onset (SaO) and 128 were seizure free (SF). We investigated the relationship between seizures and other prognostic factors of GBMs. Results A statistically significant association between the location of the lesions in the parietal lobe and seizures was observed. The left side was more commonly affected. Interestingly, there was a statistical relationship between tumors involving the subventricular zone (SVZ) and SaO patients. The tumors were also smaller on average at diagnosis, and generalized SaOs were associated with longer overall survival. Conclusions The typical patient with IDH-WT GBM with SaO is a young (<55 year) male without a history of headache. The lesion is typically small to medium in size and located in the temporoparietal dominant lobe, with a high tendency to involve the SVZ.

IDH wild-type glioblastoma presenting with seizure: clinical specificity, and oncologic and surgical outcomes / Pesce, A.; Armocida, D.; Paglia, F.; Palmieri, M.; Frati, A.; D'Andrea, G.; Salvati, M.; Santoro, A.. - In: JOURNAL OF NEUROLOGICAL SURGERY. PART A, CENTRAL EUROPEAN NEUROSURGERY. - ISSN 2193-6315. - (2021). [10.1055/s-0041-1735515]

IDH wild-type glioblastoma presenting with seizure: clinical specificity, and oncologic and surgical outcomes

Pesce A.;Armocida D.
;
Paglia F.;Palmieri M.;Frati A.;Santoro A.
2021

Abstract

Background Glioblastoma (GBM) is the most common and aggressive primary brain neoplasia in adults. Seizure is a common manifestation in GBM. Up to 25 to 60% of patients with GBM have seizures. We aim to summarize all the relevant clinical, surgical, radiologic, and molecular features of a cohort of patients suffering from GBM-related epilepsy and measure the outcome, to understand the possible existence of a clinical/phenotypical specificity of this subgroup of patients. Methods We retrospectively analyzed a cohort of 177 patients affected by isocitrate dehydrogenase wild-type (IDH-WT) GBM; 49 patients presented seizure at onset (SaO) and 128 were seizure free (SF). We investigated the relationship between seizures and other prognostic factors of GBMs. Results A statistically significant association between the location of the lesions in the parietal lobe and seizures was observed. The left side was more commonly affected. Interestingly, there was a statistical relationship between tumors involving the subventricular zone (SVZ) and SaO patients. The tumors were also smaller on average at diagnosis, and generalized SaOs were associated with longer overall survival. Conclusions The typical patient with IDH-WT GBM with SaO is a young (<55 year) male without a history of headache. The lesion is typically small to medium in size and located in the temporoparietal dominant lobe, with a high tendency to involve the SVZ.
brain tumor; EGFR; epilepsy; glioblastoma; p53; seizure; survival
01 Pubblicazione su rivista::01a Articolo in rivista
IDH wild-type glioblastoma presenting with seizure: clinical specificity, and oncologic and surgical outcomes / Pesce, A.; Armocida, D.; Paglia, F.; Palmieri, M.; Frati, A.; D'Andrea, G.; Salvati, M.; Santoro, A.. - In: JOURNAL OF NEUROLOGICAL SURGERY. PART A, CENTRAL EUROPEAN NEUROSURGERY. - ISSN 2193-6315. - (2021). [10.1055/s-0041-1735515]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1599877
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