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Published in: Journal of Neuro-Oncology 1/2018

01-08-2018 | Topic Review

Tumor-related epilepsy: epidemiology, pathogenesis and management

Authors: Dillon Y. Chen, Clark C. Chen, John R. Crawford, Sonya G. Wang

Published in: Journal of Neuro-Oncology | Issue 1/2018

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Abstract

Introduction

Seizure is a common comorbidity in patients with brain tumor. It may be the presenting symptom or develop after the tumor diagnosis. The underlying pathophysiology of brain tumor-related epilepsy remains poorly understood.

Methods

A comprehensive literature review of Pubmed English articles from 1980–2017 was performed to summarize current knowledge and treatment options of brain tumor-related epilepsy.

Results

Multiple factors have been found to contribute to tumor-related epilepsy, including tumor type, speed of tumor growth, location, and tumor burden. The underlying pathogenesis of epilepsy is not clear but perturbations in the peri-tumoral regions, both structural and cellular communications, have been implicated.

Conclusions

Surgical and medical treatments of tumor-related epilepsy remain challenging as additional factors such as the extent of surgical resection, interactions with tumor-related oncological treatments and anti-epileptic medication related side effects need to be considered.
Literature
5.
go back to reference Haines SJ (1988) Decerebrate posturing misinterpreted as seizure activity. Am J Emerg Med 6:173–177CrossRefPubMed Haines SJ (1988) Decerebrate posturing misinterpreted as seizure activity. Am J Emerg Med 6:173–177CrossRefPubMed
10.
go back to reference Pallud J, Audureau E, Blonski M, Sanai N, Bauchet L, Fontaine D, Mandonnet E, Dezamis E, Psimaras D, Guyotat J, Peruzzi P, Page P, Gal B, Párraga E, Baron MH, Vlaicu M, Guillevin R, Devaux B, Duffau H, Taillandier L, Capelle L, Huberfeld G (2014) Epileptic seizures in diffuse low-grade gliomas in adults. Brain 137:449–462. https://doi.org/10.1093/brain/awt345 CrossRefPubMed Pallud J, Audureau E, Blonski M, Sanai N, Bauchet L, Fontaine D, Mandonnet E, Dezamis E, Psimaras D, Guyotat J, Peruzzi P, Page P, Gal B, Párraga E, Baron MH, Vlaicu M, Guillevin R, Devaux B, Duffau H, Taillandier L, Capelle L, Huberfeld G (2014) Epileptic seizures in diffuse low-grade gliomas in adults. Brain 137:449–462. https://​doi.​org/​10.​1093/​brain/​awt345 CrossRefPubMed
13.
go back to reference Liigant A, Haldre S, Oun A, Linnamägi U, Saar A, Asser T, Kaasik AE (2001) Seizure disorders in patients with brain tumors. Eur Neurol 45:46–51CrossRefPubMed Liigant A, Haldre S, Oun A, Linnamägi U, Saar A, Asser T, Kaasik AE (2001) Seizure disorders in patients with brain tumors. Eur Neurol 45:46–51CrossRefPubMed
18.
go back to reference Beaumont A, Whittle IR (2000) The pathogenesis of tumour associated epilepsy. Acta Neurochir 142:1–15CrossRefPubMed Beaumont A, Whittle IR (2000) The pathogenesis of tumour associated epilepsy. Acta Neurochir 142:1–15CrossRefPubMed
24.
32.
go back to reference Gilmore R, Morris H 3rd, Van Ness PC, Gilmore-Pollak W, Estes M (1994) Mirror focus: function of seizure frequency and influence on outcome after surgery. Epilepsia 35:258–263CrossRefPubMed Gilmore R, Morris H 3rd, Van Ness PC, Gilmore-Pollak W, Estes M (1994) Mirror focus: function of seizure frequency and influence on outcome after surgery. Epilepsia 35:258–263CrossRefPubMed
38.
go back to reference Iuchi T, Kuwabara K, Matsumoto M, Kawasaki K, Hasegawa Y, Sakaida T (2015) Levetiracetam versus phenytoin for seizure prophylaxis during and early after craniotomy for brain tumours: a phase II prospective, randomised study. J Neurol Neurosur Psychiatry 86:1158–1162. https://doi.org/10.1136/jnnp-2014-308584 CrossRef Iuchi T, Kuwabara K, Matsumoto M, Kawasaki K, Hasegawa Y, Sakaida T (2015) Levetiracetam versus phenytoin for seizure prophylaxis during and early after craniotomy for brain tumours: a phase II prospective, randomised study. J Neurol Neurosur Psychiatry 86:1158–1162. https://​doi.​org/​10.​1136/​jnnp-2014-308584 CrossRef
40.
go back to reference Bahr O, Hermisson M, Rona S, Rieger J, Nussbaum S, Kortvelyessy P, Franz K, Tatagiba M, Seifert V, Weller M, Steinbach JP (2012) Intravenous and oral levetiracetam in patients with a suspected primary brain tumor and symptomatic seizures undergoing neurosurgery: the HELLO trial. Acta Neurochir 154:229–235. https://doi.org/10.1007/s00701-011-1144-9 discussion 235CrossRefPubMed Bahr O, Hermisson M, Rona S, Rieger J, Nussbaum S, Kortvelyessy P, Franz K, Tatagiba M, Seifert V, Weller M, Steinbach JP (2012) Intravenous and oral levetiracetam in patients with a suspected primary brain tumor and symptomatic seizures undergoing neurosurgery: the HELLO trial. Acta Neurochir 154:229–235. https://​doi.​org/​10.​1007/​s00701-011-1144-9 discussion 235CrossRefPubMed
42.
go back to reference Cardona AF, Rojas L, Wills B, Bernal L, Ruiz-Patino A, Arrieta O, Hakim EJ, Hakim F, Mejia JA, Useche N, Bermudez S, Carranza H, Vargas C, Otero J, Mayor LC, Ortiz LD, Franco S, Ortiz C, Gil-Gil M, Balana C, Zatarain-Barron ZL (2018) Efficacy and safety of Levetiracetam vs. other antiepileptic drugs in Hispanic patients with glioblastoma. J Neurooncol 136:363–371. https://doi.org/10.1007/s11060-017-2660-0 CrossRefPubMed Cardona AF, Rojas L, Wills B, Bernal L, Ruiz-Patino A, Arrieta O, Hakim EJ, Hakim F, Mejia JA, Useche N, Bermudez S, Carranza H, Vargas C, Otero J, Mayor LC, Ortiz LD, Franco S, Ortiz C, Gil-Gil M, Balana C, Zatarain-Barron ZL (2018) Efficacy and safety of Levetiracetam vs. other antiepileptic drugs in Hispanic patients with glioblastoma. J Neurooncol 136:363–371. https://​doi.​org/​10.​1007/​s11060-017-2660-0 CrossRefPubMed
47.
go back to reference Villanueva V, Saiz-Diaz R, Toledo M, Piera A, Mauri JA, Rodriguez-Uranga JJ, Lopez-Gonzalez FJ, Gomez-Ibanez A, Garces M, Gonzalez de la Aleja J, Rodriguez-Osorio X, Palao-Duarte S, Castillo A, Bonet M, Ruiz-Gimenez J, Palau J, Arcediano A, Toledo M, Gago A (2016) NEOPLASM study: real-life use of lacosamide in patients with brain tumor-related epilepsy. Epilepsy Behav 65:25–32. https://doi.org/10.1016/j.yebeh.2016.09.033 CrossRefPubMed Villanueva V, Saiz-Diaz R, Toledo M, Piera A, Mauri JA, Rodriguez-Uranga JJ, Lopez-Gonzalez FJ, Gomez-Ibanez A, Garces M, Gonzalez de la Aleja J, Rodriguez-Osorio X, Palao-Duarte S, Castillo A, Bonet M, Ruiz-Gimenez J, Palau J, Arcediano A, Toledo M, Gago A (2016) NEOPLASM study: real-life use of lacosamide in patients with brain tumor-related epilepsy. Epilepsy Behav 65:25–32. https://​doi.​org/​10.​1016/​j.​yebeh.​2016.​09.​033 CrossRefPubMed
61.
go back to reference Medvid R, Ruiz A, Komotar RJ, Jagid JR, Ivan ME, Quencer RM, Desai MB (2015) Current applications of MRI-guided laser interstitial thermal therapy in the treatment of brain neoplasms and epilepsy: a radiologic and neurosurgical overview. AJNR Am J Neuroradiol 36:1998–2006. https://doi.org/10.3174/ajnr.A4362 CrossRefPubMed Medvid R, Ruiz A, Komotar RJ, Jagid JR, Ivan ME, Quencer RM, Desai MB (2015) Current applications of MRI-guided laser interstitial thermal therapy in the treatment of brain neoplasms and epilepsy: a radiologic and neurosurgical overview. AJNR Am J Neuroradiol 36:1998–2006. https://​doi.​org/​10.​3174/​ajnr.​A4362 CrossRefPubMed
62.
go back to reference Glantz MJ, Cole BF, Forsyth PA, Recht LD, Wen PY, Chamberlain MC, Grossman SA, Cairncross JG (2000) Practice parameter: anticonvulsant prophylaxis in patients with newly diagnosed brain tumors. Report of the Quality Standards Subcommittee of the American Academy of Neurology. Neurology 54:1886–1893CrossRefPubMed Glantz MJ, Cole BF, Forsyth PA, Recht LD, Wen PY, Chamberlain MC, Grossman SA, Cairncross JG (2000) Practice parameter: anticonvulsant prophylaxis in patients with newly diagnosed brain tumors. Report of the Quality Standards Subcommittee of the American Academy of Neurology. Neurology 54:1886–1893CrossRefPubMed
64.
go back to reference Glauser T, Ben-Menachem E, Bourgeois B, Cnaan A, Guerreiro C, Kalviainen R, Mattson R, French JA, Perucca E, Tomson T, Guidelines ISoA (2013) Updated ILAE evidence review of antiepileptic drug efficacy and effectiveness as initial monotherapy for epileptic seizures and syndromes. Epilepsia 54:551–563. https://doi.org/10.1111/epi.12074 CrossRefPubMed Glauser T, Ben-Menachem E, Bourgeois B, Cnaan A, Guerreiro C, Kalviainen R, Mattson R, French JA, Perucca E, Tomson T, Guidelines ISoA (2013) Updated ILAE evidence review of antiepileptic drug efficacy and effectiveness as initial monotherapy for epileptic seizures and syndromes. Epilepsia 54:551–563. https://​doi.​org/​10.​1111/​epi.​12074 CrossRefPubMed
69.
go back to reference Bourg V, Lebrun C, Chichmanian RM, Thomas P, Frenay M (2001) Nitroso-urea-cisplatin-based chemotherapy associated with valproate: increase of haematologic toxicity. Ann Oncol 12:217–219CrossRefPubMed Bourg V, Lebrun C, Chichmanian RM, Thomas P, Frenay M (2001) Nitroso-urea-cisplatin-based chemotherapy associated with valproate: increase of haematologic toxicity. Ann Oncol 12:217–219CrossRefPubMed
74.
go back to reference Maschio M, Albani F, Jandolo B, Zarabla A, Contin M, Dinapoli L, Fabi A, Pace A, Baruzzi A (2008) Temozolomide treatment does not affect topiramate and oxcarbazepine plasma concentrations in chronically treated patients with brain tumor-related epilepsy. J Neuro-Oncol 90:217–221. https://doi.org/10.1007/s11060-008-9651-0 CrossRef Maschio M, Albani F, Jandolo B, Zarabla A, Contin M, Dinapoli L, Fabi A, Pace A, Baruzzi A (2008) Temozolomide treatment does not affect topiramate and oxcarbazepine plasma concentrations in chronically treated patients with brain tumor-related epilepsy. J Neuro-Oncol 90:217–221. https://​doi.​org/​10.​1007/​s11060-008-9651-0 CrossRef
Metadata
Title
Tumor-related epilepsy: epidemiology, pathogenesis and management
Authors
Dillon Y. Chen
Clark C. Chen
John R. Crawford
Sonya G. Wang
Publication date
01-08-2018
Publisher
Springer US
Published in
Journal of Neuro-Oncology / Issue 1/2018
Print ISSN: 0167-594X
Electronic ISSN: 1573-7373
DOI
https://doi.org/10.1007/s11060-018-2862-0

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