Evidence map›Paper›PMID 38628602›Full record

ArticleNeuropsychiatric disease and treatment2024

Efficacy of Personalized Postoperative Epilepsy Management in Patients with Glioblastoma Utilizing IDH1 Gene Assessment.

Gao-Qiang Meng, Shu Chen, Han-Bin Ye, Bao-Jun Ma, Shuo Tao, Zi Ye

Open access · goldAbstract read
In one paragraph

Article in Neuropsychiatric disease and treatment, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Gao-Qiang Meng *Department of Neurosurgery, Affiliated Hospital 2 of Nantong University, Nantong First People's Hospital, Nantong, 226000, People's Republic of China.
Shu Chen *Department of Endocrinology, Affiliated Hospital 2 of Nantong University, Nantong First People's Hospital, Nantong, 226000, People's Republic of China.
Han-Bin YeDepartment of Neurosurgery, Affiliated Hospital 2 of Nantong University, Nantong First People's Hospital, Nantong, 226000, People's Republic of China.
Bao-Jun MaDepartment of Neurosurgery, Affiliated Hospital 2 of Nantong University, Nantong First People's Hospital, Nantong, 226000, People's Republic of China.
Shuo TaoDepartment of Out-Patient, Affiliated Hospital 2 of Nantong University, Nantong First People's Hospital, Nantong, 226000, People's Republic of China.
Zi YeDepartment of Neurosurgery, Affiliated Hospital 2 of Nantong University, Nantong First People's Hospital, Nantong, 226000, People's Republic of China.
Nantong University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: We explored the correlation between the presence of isocitrate dehydrogenase-1 (IDH1) mutations and the incidence of postoperative epilepsy in patients with glioblastoma, as well as assessed the efficacy of preemptive administration of antiepileptic medications in mitigating the occurrence of postoperative epilepsy. Methods: Fifty-three patients who received a postoperative pathological diagnosis of glioblastoma, were enrolled in this study. Tumor specimens were subjected to IDH1 gene analysis. The patient cohort was stratified based on their IDH1 mutation status and the administration of prophylactic antiepileptic drugs during the postoperative phase. We subsequently conducted a comparative analysis of postoperative epileptic complications within each patient subgroup. Results: In the cohort of 53 patients under study, the occurrence of epilepsy was observed in 10 out of 21 patients carrying IDH1 mutations, while 5 out of 32 patients with wild-type IDH1 also experienced epilepsy, revealing a statistically significant difference (P < 0.05). Among the 27 patients who received prophylactic antiepileptic drugs, 6 of them developed epilepsy, whereas 9 out of 26 patients who did not receive prophylactic antiepileptic drugs exhibited concurrent epilepsy, with no statistically significant difference (P > 0.05). However, when performing a subgroup analysis, it was found that 3 out of 12 patients with IDH1 mutations who received prophylactic antiepileptic drugs experienced epilepsy, whereas 7 out of 9 patients who did not receive prophylactic antiepileptic drugs developed epilepsy, demonstrating a statistically significant difference (P < 0.05). Furthermore, within the group of 15 patients with wild-type IDH1, 3 patients who received prophylactic antiepileptic drugs developed epilepsy, while 2 cases of epilepsy occurred among the 17 patients who did not receive prophylactic antiepileptic drugs, with no statistically significant difference (P > 0.05). Conclusion: In individuals with IDH1 mutant glioblastoma who have undergone surgical resection, the implementation of preventive antiepileptic therapy demonstrates a potential to diminish the occurrence of postoperative epilepsy.

Indexed as

epilepsyglioblastomaisocitrate dehydrogenase-1prophylactic antiepileptic therapy

Identifiers

PMID38628602
PMCPMC11020320
OpenAlexW4394716088

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