Glioblastoma Multiforme in a Patient with Celiac Disease: Management of Seizures After Gross Total Tumor Resection

World Neurosurg. 2018 Oct:118:209-211. doi: 10.1016/j.wneu.2018.07.010. Epub 2018 Aug 11.

Abstract

Background: A 55-year-old woman with a history of celiac disease presented with focal seizures and a mass lesion located at the left frontal lobe. Management of seizures in these patients is challenging.

Case description: The patient underwent a navigation-assisted tumor resection. A week later, she returned to her regular diet, but 12 days after surgery she started the same pattern seizures.

Conclusion: A patient suffering from glioblastoma multiforme who presents with seizures and has a history of celiac disease must be treated more aggressively than usual, with dual or triple anticonvulsant scheme therapy, and provided a strict gluten-free diet after tumor resection.

Keywords: Focal seizures; GBM and celiac disease; Glioblastoma multiforme; Gross total tumor removal.

Publication types

  • Case Reports

MeSH terms

  • Brain Neoplasms / complications
  • Brain Neoplasms / diagnostic imaging
  • Brain Neoplasms / surgery*
  • Celiac Disease / complications
  • Celiac Disease / diagnostic imaging
  • Celiac Disease / surgery*
  • Disease Management*
  • Female
  • Glioblastoma / complications
  • Glioblastoma / diagnostic imaging
  • Glioblastoma / surgery*
  • Humans
  • Middle Aged
  • Seizures / complications
  • Seizures / diagnostic imaging
  • Seizures / surgery*