Evidence map›Paper›PMID 40487573›Full record

ReviewNeuro-oncology practice2025

Seizure risk factors and management approaches in patients with brain metastases.

Eugene J Vaios, Spencer Maingi, Kristen Batich, Sebastian F Winter, Jorg Dietrich, Trey Mullikin, Scott R Floyd, John P Kirkpatrick, Zachary J Reitman, Katherine B Peters

Abstract readReview
In one paragraph

Review in Neuro-oncology practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Eugene J VaiosDepartment of Radiation Oncology, Duke University Medical Center, Durham, North Carolina, USA.ORCID https://orcid.org/0000-0003-2122-6650
Spencer MaingiDepartment of Radiation Oncology, Duke University Medical Center, Durham, North Carolina, USA.
Kristen BatichDepartment of Pathology, Duke University Medical Center, Durham, North Carolina, USA.
Sebastian F WinterDivision of Neuro-Oncology, Massachusetts General Hospital Cancer Center, Harvard Medical School, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0001-8836-0235
Jorg DietrichDivision of Neuro-Oncology, Massachusetts General Hospital Cancer Center, Harvard Medical School, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0001-8291-0136
Trey MullikinDepartment of Radiation Oncology, Duke University Medical Center, Durham, North Carolina, USA.
Scott R FloydDepartment of Radiation Oncology, Duke University Medical Center, Durham, North Carolina, USA.
John P KirkpatrickDepartment of Neurosurgery, Duke University Medical Center, Durham, North Carolina, USA.
Zachary J ReitmanDepartment of Pathology, Duke University Medical Center, Durham, North Carolina, USA.ORCID https://orcid.org/0000-0002-9122-9550
Katherine B PetersDepartment of Neurosurgery, Duke University Medical Center, Durham, North Carolina, USA.ORCID https://orcid.org/0000-0001-5110-3868

Funding

Medical Scientist Training Program Training GrantT32GM145449 · NIGMS · DUKE UNIVERSITY · PI Christopher D Kontos · 2022 to 2026
$6.6M
Duke Radiation Oncology and Radiology Stimulating Access to Research in ResidencyR38CA245204 · NCI · DUKE UNIVERSITY · PI FLOYD, SCOTT R · 2020 to 2023
$1.4M
Cell-Free DNA Methylation Patterns as a Biomarker for Tumor Biology and Clinical Outcomes for Glioblastoma PatientsK38CA292995 · NCI · DUKE UNIVERSITY · PI Eugene Vaios · 2024 to 2026
$276k
NCI NIH HHS K38 CA292995NCI NIH HHS R38 CA245204NIGMS NIH HHS T32 GM145449
6 · The paper itself

Abstract

A significant proportion of patients with brain metastases experience a seizure event during their disease course, which can impact morbidity and long-term outcomes. A host of factors elevate the risk for seizures in patients with brain metastases, including patient factors, metabolic imbalances, tumor burden, and treatment modality. While reducing tumor burden via local and systemic therapies remains a critical component to mitigating seizure events, select patients may remain at risk. The use of prophylactic anti-seizure medications may be warranted in a subset of patients, though several clinical trials and guidelines from medical societies currently recommend against prophylactic use. Variability in the use of prophylactic anti-seizure medications in clinical practice underscores the need to update our current understanding of seizure risk in the era of multi-modality treatment and to identify opportunities to improve risk stratification and management. Herein, we provide a comprehensive literature review summarizing the current standard for seizure management in patients with brain metastases and assess the impact of multi-modal therapies on seizure risk. We additionally highlight gaps in the literature and present opportunities for future investigation.

Indexed as

brain metastasesimmunotherapyradiosurgeryseizurestargeted therapy

Identifiers

PMID40487573
PMCPMC12137221

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.