[Gliomas – What I Have to Know in ten Questions]

Praxis (Bern 1994). 2016 Mar 16;105(6):330-7. doi: 10.1024/1661-8157/a002303.
[Article in German]

Abstract

Gliomas are the most common primary tumors involving the central nervous system. They can manifest with diverse and non-specific general and neurological symptoms. The diagnostic gold standard is cerebral magnetic resonance imaging and subsequent histological confirmation of the diagnosis. Steroids, especially dexamethasone, are used in case of focal symptoms and of symptoms caused by increased intracranial pressure, and antiepileptic drugs are used to manage epileptic seizures. Non-enzyme-inducing antiepileptic drugs are preferable. Glioma patients have an inherently elevated thromboembolic risk, and therapeutic anticoagulation is indicated following a thromboembolic event. Surgery, radiotherapy and systemic therapy are used as tumor-specific therapy modalities in gliomas. Molecular markers play an increasing role in the prognosis and selection of therapy in daily oncological routine.

Keywords: Antiepileptika; Glioblastom; Oligodendrogliom; Steroide; Thrombose; antiepileptics; antiépileptique; glioblastoma; glioblastome; oligodendroglioma; oligodendrogliome; steroids; stéroides; thrombose; thrombosis.

Publication types

  • Review

MeSH terms

  • Anticoagulants / adverse effects
  • Anticoagulants / therapeutic use
  • Anticonvulsants / adverse effects
  • Anticonvulsants / therapeutic use
  • Brain Neoplasms / diagnosis*
  • Brain Neoplasms / therapy*
  • Combined Modality Therapy / adverse effects
  • Combined Modality Therapy / methods
  • Dexamethasone / adverse effects
  • Dexamethasone / therapeutic use
  • Diagnosis, Differential
  • Glioblastoma / diagnosis*
  • Glioblastoma / drug therapy
  • Glioma / diagnosis*
  • Glioma / therapy*
  • Humans
  • Image Interpretation, Computer-Assisted
  • Magnetic Resonance Imaging
  • Oligodendroglioma / diagnosis*
  • Oligodendroglioma / drug therapy
  • Positron-Emission Tomography
  • Tyrosine / analogs & derivatives

Substances

  • Anticoagulants
  • Anticonvulsants
  • (18F)fluoroethyltyrosine
  • Tyrosine
  • Dexamethasone