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Baumgarten, Peter; Sarlak, Mana; Monden, Daniel; Spyrantis, Andrea; Bernatz, Simon; Gessler, Florian; Dubinski, Daniel; Hattingen, Elke; Marquardt, Gerhard; Strzelczyk, Adam; Rosenow, Felix; Harter, Patrick N; Seifert, Volker; Freiman, Thomas M
Cancers, 01/2021, Letnik: 13, Številka: 3Journal Article
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 ( = 0.039) and temporal location ( = 0.038). For postoperative seizures preoperative tumor size ( < 0.001), sensomotory deficit ( = 0.004) and sphenoid wing location ( = 0.032) were independent risk factors. In terms of postoperative status epilepticus; sphenoid wing location ( = 0.022), tumor volume ( = 0.045) and preoperative seizures ( < 0.001) were independent risk factors. Postoperative seizures lead to a KPS deterioration and thus an impaired quality of life ( < 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 ( < 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.
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