TY  - JOUR
A1  - Baumgarten, Peter
A1  - Sarlak, Mana
A1  - Monden, Daniel
A1  - Spyrantis, Andrea
A1  - Bernatz, Simon
A1  - Geßler, Florian
A1  - Dubinski, Daniel
A1  - Hattingen, Elke
A1  - Marquardt, Gerhard
A1  - Strzelczyk, Adam
A1  - Rosenow, Felix
A1  - Harter, Patrick Nikolaus
A1  - Seifert, Volker
A1  - Freiman, Thomas Michael
T1  - Early and late postoperative seizures in meningioma patients and prediction by a recent scoring system
T2  - Cancers
N2  - Simple Summary

Seizures are among the most common symptoms of meningioma patients even after surgery. This study sought to identify risk factors for early and late seizures in meningioma patients and to evaluate a modified version of a score to predict postoperative seizures on an independent cohort. The data underline that there are distinct factors identifying patients with a high risk of postoperative seizures following meningioma surgery which has been already shown before. We could further show that the high proportion of 43% of postoperative seizures occur as late seizures which are more dangerous because they may happen out of hospital. The modified STAMPE2 score could predict postoperative seizures when reaching very high scores but was not generally transferable to our independent cohort.

Abstract

Seizures are among the most common symptoms of meningioma. This retrospective study sought to identify risk factors for early and late seizures in meningioma patients and to evaluate a modified STAMPE2 score. In 556 patients who underwent meningioma surgery, we correlated different risk factors with the occurrence of postoperative seizures. A modified STAMPE2 score was applied. Risk factors for preoperative seizures were edema (p = 0.039) and temporal location (p = 0.038). For postoperative seizures preoperative tumor size (p < 0.001), sensomotory deficit (p = 0.004) and sphenoid wing location (p = 0.032) were independent risk factors. In terms of postoperative status epilepticus; sphenoid wing location (p = 0.022), tumor volume (p = 0.045) and preoperative seizures (p < 0.001) were independent risk factors. Postoperative seizures lead to a KPS deterioration and thus an impaired quality of life (p < 0.001). Late seizures occurred in 43% of patients with postoperative seizures. The small sub-cohort of patients (2.7%) with a STAMPE2 score of more than six points had a significantly increased risk for seizures (p < 0.001, total risk 70%). We concluded that besides distinct risk factors, high scores of the modified STAMPE2 score could estimate the risk of postoperative seizures. However, it seems not transferable to our cohort
KW  - anticonvulsants
KW  - epilepsy
KW  - meningioma
KW  - seizures
KW  - STAMPE2
Y1  - 2021
UR  - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/57459
UR  - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-574596
SN  - 2072-6694
VL  - 13
IS  - Article 450
PB  - MDPI
CY  - Basel
ER  -