Effects of steroids on vasogenic edema due to brain tumors, a narrative review

Background and objectives: Tumor-associated edema is a serious condition that can lead to severe complications. Corticosteroids in the treatment of edema can be administered postoperatively or preoperatively. Each method has its benefits and drawbacks, and there still isn’t a consensus on choosing t...

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Main Authors: Marzieh Shahrabi, Azin Abdollahi, Mohammad Niakan Lahiji, Tahereh Sorbi, Mohammad Solduzian
Format: Article
Language:English
Published: Elsevier 2025-09-01
Series:Interdisciplinary Neurosurgery
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Online Access:http://www.sciencedirect.com/science/article/pii/S2214751925001185
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author Marzieh Shahrabi
Azin Abdollahi
Mohammad Niakan Lahiji
Tahereh Sorbi
Mohammad Solduzian
author_facet Marzieh Shahrabi
Azin Abdollahi
Mohammad Niakan Lahiji
Tahereh Sorbi
Mohammad Solduzian
author_sort Marzieh Shahrabi
collection DOAJ
description Background and objectives: Tumor-associated edema is a serious condition that can lead to severe complications. Corticosteroids in the treatment of edema can be administered postoperatively or preoperatively. Each method has its benefits and drawbacks, and there still isn’t a consensus on choosing the best approach. In this review, the effects of different types of corticosteroids will be discussed in the management of tumor-associated edema, also it provides basis for further investigation due to the lack of data in this regard. Method: PubMed, Google Scholar, and Scopus were used for search from inception to February 13, 2025. The Scale for the Assessment of Narrative Review Article was used for evaluation and it received the score of 10. Result: Conducted search resulted in 965 relevant articles. In total, 19 of them matched to our purpose of the study. Conclusion: There are more studies focused on dexamethasone than on the other agents. Due to its lower mineralocorticoid effects, dexamethasone is usually the corticosteroid of choice, except in cases where the patient has a history of an allergic reaction to it. Preoperative administration of these medications can provide benefits, such as decreasing complications and improving the patient’s clinical status. Postoperative use of corticosteroids may also reduce the length of hospitalization.
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issn 2214-7519
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series Interdisciplinary Neurosurgery
spelling doaj-art-df86a478733d4926a54ef83abf17ec812025-08-20T03:59:22ZengElsevierInterdisciplinary Neurosurgery2214-75192025-09-014110210610.1016/j.inat.2025.102106Effects of steroids on vasogenic edema due to brain tumors, a narrative reviewMarzieh Shahrabi0Azin Abdollahi1Mohammad Niakan Lahiji2Tahereh Sorbi3Mohammad Solduzian4Faculty of Pharmacy, Tehran University of Medical Sciences, Tehran, IranFaculty of Pharmacy, Tehran University of Medical Sciences, Tehran, IranTrauma and Injury Research Center, School of Medicine, Iran University of Medical Sciences, Tehran, Iran; Department of Critical Care, Rasool-e-Akram Hospital, School of Medicine, Iran University of Medical Sciences, Tehran, IranDepartment of Anesthesiology, School of Medicine, Iran University of Medical Sciences, Tehran, IranPain Research Center, Department of Anesthesiology and Pain Medicine, Iran University of Medical Sciences, Tehran, Iran; Corresponding author.Background and objectives: Tumor-associated edema is a serious condition that can lead to severe complications. Corticosteroids in the treatment of edema can be administered postoperatively or preoperatively. Each method has its benefits and drawbacks, and there still isn’t a consensus on choosing the best approach. In this review, the effects of different types of corticosteroids will be discussed in the management of tumor-associated edema, also it provides basis for further investigation due to the lack of data in this regard. Method: PubMed, Google Scholar, and Scopus were used for search from inception to February 13, 2025. The Scale for the Assessment of Narrative Review Article was used for evaluation and it received the score of 10. Result: Conducted search resulted in 965 relevant articles. In total, 19 of them matched to our purpose of the study. Conclusion: There are more studies focused on dexamethasone than on the other agents. Due to its lower mineralocorticoid effects, dexamethasone is usually the corticosteroid of choice, except in cases where the patient has a history of an allergic reaction to it. Preoperative administration of these medications can provide benefits, such as decreasing complications and improving the patient’s clinical status. Postoperative use of corticosteroids may also reduce the length of hospitalization.http://www.sciencedirect.com/science/article/pii/S2214751925001185CorticosteroidDexamethasoneBrain tumorBrain edemaVasogenic edema
spellingShingle Marzieh Shahrabi
Azin Abdollahi
Mohammad Niakan Lahiji
Tahereh Sorbi
Mohammad Solduzian
Effects of steroids on vasogenic edema due to brain tumors, a narrative review
Interdisciplinary Neurosurgery
Corticosteroid
Dexamethasone
Brain tumor
Brain edema
Vasogenic edema
title Effects of steroids on vasogenic edema due to brain tumors, a narrative review
title_full Effects of steroids on vasogenic edema due to brain tumors, a narrative review
title_fullStr Effects of steroids on vasogenic edema due to brain tumors, a narrative review
title_full_unstemmed Effects of steroids on vasogenic edema due to brain tumors, a narrative review
title_short Effects of steroids on vasogenic edema due to brain tumors, a narrative review
title_sort effects of steroids on vasogenic edema due to brain tumors a narrative review
topic Corticosteroid
Dexamethasone
Brain tumor
Brain edema
Vasogenic edema
url http://www.sciencedirect.com/science/article/pii/S2214751925001185
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AT mohammadniakanlahiji effectsofsteroidsonvasogenicedemaduetobraintumorsanarrativereview
AT taherehsorbi effectsofsteroidsonvasogenicedemaduetobraintumorsanarrativereview
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