How do you counsel patients on control of glioma-related seizures following radiation?

About a third of malignant glioma patients present with a seizure, another third of patients will eventually develop seizures, and the last third never have seizures.

Curiously, seizures as a presenting complaint carry a BETTER prognosis than those with focal neurologic deficits at diagnosis. The im...

Have them carry Ativan around to dissolve under tongue if they feel one coming on. Aborts them and lets them call for assistance.

I suggest that the risk of seizures can be slightly increased but I don't routinely start anti-epileptics in my patients.