For patients with newly diagnosed brain metastases without a history of seizure activity, do you routinely start anti-seizure medication?

Topics: Radiation Oncology • Neuro-Oncology • Pediatric Oncology • Medical Oncology • Neurology

If so, how long do you continue medication and when do you discontinue?

Does treatment with surgical resection versus radiation alone change your management?

Answer from: at Academic Institution

This is a common clinical question that has been repeatedly explored in meta-analyses and clinical guidelines. There is consistently no evidence to support primary prophylaxis for seizures in patients with brain tumors including brain metastases. In summary, the data do not support the routine use o...

Comments

at Michigan Institute for Neurological Disorders (MIND)
Great review… very detailed. Thank you.

at Stony Brook University School of Medicine
So, can anyone explain why Neurosurgery continues ...

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