Title :

Sno and eano practice guideline update: anticonvulsant prophylaxis in patients with newly diagnosed brain tumors

Author(s) :

Walbert, Tobias [Auteur]
Harrison, Rebecca A. [Auteur]
Schiff, David [Auteur]
Avila, Edward K. [Auteur]
Chen, Merry [Auteur]
Kandula, Padmaja [Auteur]
Lee, Jong Woo [Auteur]
Le Rhun, Emilie [Auteur]
Stevens, Glen H. J. [Auteur]
Vogelbaum, Michael A. [Auteur]
Wick, Wolfgang [Auteur]
Weller, Michael [Auteur]
Wen, Patrick Y. [Auteur]
Gerstner, Elizabeth R. [Auteur]

Journal title :

Neuro-Oncology

Abbreviated title :

Neuro Oncol

Publication date :

2021-06-26

ISSN :

1523-5866

Keyword(s) :

glioma
guideline
seizure
antiepileptic drug
GBM

HAL domain(s) :

Sciences du Vivant [q-bio]

English abstract : [en]

OBJECTIVE: To update the 2000 American Academy of Neurology (AAN) practice parameter on anticonvulsant prophylaxis in patients with newly diagnosed brain tumors. METHODS: Following the 2017 AAN methodologies, a systematic ...
Show more >OBJECTIVE: To update the 2000 American Academy of Neurology (AAN) practice parameter on anticonvulsant prophylaxis in patients with newly diagnosed brain tumors. METHODS: Following the 2017 AAN methodologies, a systematic literature review utilizing PubMed, EMBASE Library, Cochrane, and Web of Science databases was performed. The studies were rated based on the AAN therapeutic or causation classification of evidence (class I-IV). RESULTS: Thirty-seven articles were selected for final analysis. There were limited high-level, class I studies and mostly class II and III studies. The AAN affirmed the value of these guidelines. RECOMMENDATIONS: In patients with newly diagnosed brain tumors who have not had a seizure, clinicians should not prescribe antiepileptic drugs (AEDs) to reduce the risk of seizures (level A). In brain tumor patients undergoing surgery, there is insufficient evidence to recommend prescribing AEDs to reduce the risk of seizures in the peri- or postoperative period (level C). There is insufficient evidence to support prescribing valproic acid or levetiracetam with the intent to prolong progression-free or overall survival (level C). Physicians may consider the use of levetiracetam over older AEDs to reduce side effects (level C). There is insufficient evidence to support using tumor location, histology, grade, molecular/imaging features when deciding whether or not to prescribe prophylactic AEDs (level U).Show less >

Language :

Anglais

Audience :

Internationale

Popular science :

Non

Administrative institution(s) :

INSERM
Université de Lille

Collections :

• Protéomique, Réponse Inflammatoire, Spectrométrie de Masse (PRISM) - U1192

Submission date :

2022-06-15T14:00:35Z