Features of epileptiform activity in patients with diagnosed glioblastoma: from genetic and biochemical mechanisms to clinical aspects

Introduction. glioblastomas multiforme (grade Iv gliomas) are common and the most aggressive primary tumors of the brain with very unfavorable prognosis. In all previously published papers on epileptiform activity in glioblastomas, not enough information on encephalogram results is presented.Aim. To...

Full description

Saved in:
Bibliographic Details
Main Authors: E. E. Tyagunova, A. S. Zakharov, A. I. Glukhov, V. Z. Dobrokhotova, T. I. Shlapakov, V. V. Kozlov, N. V. Korotkova, T.  E.  Tyagunova
Format: Article
Language:Russian
Published: ABV-press 2022-12-01
Series:Опухоли головы и шеи
Subjects:
Online Access:https://ogsh.abvpress.ru/jour/article/view/819
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849241573708005376
author E. E. Tyagunova
A. S. Zakharov
A. I. Glukhov
V. Z. Dobrokhotova
T. I. Shlapakov
V. V. Kozlov
N. V. Korotkova
T.  E.  Tyagunova
author_facet E. E. Tyagunova
A. S. Zakharov
A. I. Glukhov
V. Z. Dobrokhotova
T. I. Shlapakov
V. V. Kozlov
N. V. Korotkova
T.  E.  Tyagunova
author_sort E. E. Tyagunova
collection DOAJ
description Introduction. glioblastomas multiforme (grade Iv gliomas) are common and the most aggressive primary tumors of the brain with very unfavorable prognosis. In all previously published papers on epileptiform activity in glioblastomas, not enough information on encephalogram results is presented.Aim. To study the features of epileptiform activity in patients with glioblastomas and development of a plan for further study of these patients.Materials and methods. An analysis of articles from Elsevier, Embase, Scopus, The Cochrane Library, global Health, Russian Science Citation Index (RSCI) databases, Scholar, google, web of Science, pubmed search engines and scientific electronic library CyberLeninka was performed. materials were selected considering journal indexing system and citations, scientific novelty of the studies, statistical significance of the results. publications repeating data from previous articles or describing animal experiments were excluded from analysis.Results. During the study, data on mechanisms of epileptiform activity pathogenesis, predisposing factors (tumor location in the temporal, frontal or parietal lobes, IDH-1 and / or IDH-2 gene mutations), treatment options in patients with glioblastomas were systemized. Additionally, and original plan of data accumulation for clinical studied taking into account limitations of the previous studies was developed to increase quality of results interpretation.Conclusion. Epileptiform symptoms in glioblastomas negatively affect patients’ quality of life and lifespan. Currently, researchers actively search for an effective method of treatment of epileptic seizures in patients with glioblastomas. The most effective is combination of temozolomide with valproate and levetiracetam due to good control of seizure frequency, low toxicity, and pharmacological synergy between the drugs.
format Article
id doaj-art-6daa4d7938e54476bdb2080299c8ba73
institution Kabale University
issn 2222-1468
2411-4634
language Russian
publishDate 2022-12-01
publisher ABV-press
record_format Article
series Опухоли головы и шеи
spelling doaj-art-6daa4d7938e54476bdb2080299c8ba732025-08-20T04:00:07ZrusABV-pressОпухоли головы и шеи2222-14682411-46342022-12-0112310211310.17650/2222-1468-2022-12-3-102-113513Features of epileptiform activity in patients with diagnosed glioblastoma: from genetic and biochemical mechanisms to clinical aspectsE. E. Tyagunova0A. S. Zakharov1A. I. Glukhov2V. Z. Dobrokhotova3T. I. Shlapakov4V. V. Kozlov5N. V. Korotkova6T.  E.  Tyagunova7I.M. Sechenov First Moscow State Medical University, Ministry of Health of RussiaPavlov Ryazan State Medical University, Ministry of Health of RussiaI.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia; M.V. Lomonosov Moscow State UniversityI.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia; N. N. Blokhin National Research Institute of Oncology, Ministry of Health of RussiaI.M. Sechenov First Moscow State Medical University, Ministry of Health of RussiaI.M. Sechenov First Moscow State Medical University, Ministry of Health of RussiaPavlov Ryazan State Medical University, Ministry of Health of RussiaLLC “Klassny Doctor”Introduction. glioblastomas multiforme (grade Iv gliomas) are common and the most aggressive primary tumors of the brain with very unfavorable prognosis. In all previously published papers on epileptiform activity in glioblastomas, not enough information on encephalogram results is presented.Aim. To study the features of epileptiform activity in patients with glioblastomas and development of a plan for further study of these patients.Materials and methods. An analysis of articles from Elsevier, Embase, Scopus, The Cochrane Library, global Health, Russian Science Citation Index (RSCI) databases, Scholar, google, web of Science, pubmed search engines and scientific electronic library CyberLeninka was performed. materials were selected considering journal indexing system and citations, scientific novelty of the studies, statistical significance of the results. publications repeating data from previous articles or describing animal experiments were excluded from analysis.Results. During the study, data on mechanisms of epileptiform activity pathogenesis, predisposing factors (tumor location in the temporal, frontal or parietal lobes, IDH-1 and / or IDH-2 gene mutations), treatment options in patients with glioblastomas were systemized. Additionally, and original plan of data accumulation for clinical studied taking into account limitations of the previous studies was developed to increase quality of results interpretation.Conclusion. Epileptiform symptoms in glioblastomas negatively affect patients’ quality of life and lifespan. Currently, researchers actively search for an effective method of treatment of epileptic seizures in patients with glioblastomas. The most effective is combination of temozolomide with valproate and levetiracetam due to good control of seizure frequency, low toxicity, and pharmacological synergy between the drugs.https://ogsh.abvpress.ru/jour/article/view/819glioblastomaepilepsyreactive astrocytesisocitrate dehydrogenaseidh-1idh-2questionnaire
spellingShingle E. E. Tyagunova
A. S. Zakharov
A. I. Glukhov
V. Z. Dobrokhotova
T. I. Shlapakov
V. V. Kozlov
N. V. Korotkova
T.  E.  Tyagunova
Features of epileptiform activity in patients with diagnosed glioblastoma: from genetic and biochemical mechanisms to clinical aspects
Опухоли головы и шеи
glioblastoma
epilepsy
reactive astrocytes
isocitrate dehydrogenase
idh-1
idh-2
questionnaire
title Features of epileptiform activity in patients with diagnosed glioblastoma: from genetic and biochemical mechanisms to clinical aspects
title_full Features of epileptiform activity in patients with diagnosed glioblastoma: from genetic and biochemical mechanisms to clinical aspects
title_fullStr Features of epileptiform activity in patients with diagnosed glioblastoma: from genetic and biochemical mechanisms to clinical aspects
title_full_unstemmed Features of epileptiform activity in patients with diagnosed glioblastoma: from genetic and biochemical mechanisms to clinical aspects
title_short Features of epileptiform activity in patients with diagnosed glioblastoma: from genetic and biochemical mechanisms to clinical aspects
title_sort features of epileptiform activity in patients with diagnosed glioblastoma from genetic and biochemical mechanisms to clinical aspects
topic glioblastoma
epilepsy
reactive astrocytes
isocitrate dehydrogenase
idh-1
idh-2
questionnaire
url https://ogsh.abvpress.ru/jour/article/view/819
work_keys_str_mv AT eetyagunova featuresofepileptiformactivityinpatientswithdiagnosedglioblastomafromgeneticandbiochemicalmechanismstoclinicalaspects
AT aszakharov featuresofepileptiformactivityinpatientswithdiagnosedglioblastomafromgeneticandbiochemicalmechanismstoclinicalaspects
AT aiglukhov featuresofepileptiformactivityinpatientswithdiagnosedglioblastomafromgeneticandbiochemicalmechanismstoclinicalaspects
AT vzdobrokhotova featuresofepileptiformactivityinpatientswithdiagnosedglioblastomafromgeneticandbiochemicalmechanismstoclinicalaspects
AT tishlapakov featuresofepileptiformactivityinpatientswithdiagnosedglioblastomafromgeneticandbiochemicalmechanismstoclinicalaspects
AT vvkozlov featuresofepileptiformactivityinpatientswithdiagnosedglioblastomafromgeneticandbiochemicalmechanismstoclinicalaspects
AT nvkorotkova featuresofepileptiformactivityinpatientswithdiagnosedglioblastomafromgeneticandbiochemicalmechanismstoclinicalaspects
AT tetyagunova featuresofepileptiformactivityinpatientswithdiagnosedglioblastomafromgeneticandbiochemicalmechanismstoclinicalaspects