Letter to the Editor. Preoperative seizures as predictive sign of brain invasion by meningioma

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TO THE EDITOR: I read with interest the article by Hess et al.8 reporting association of perioperative seizures and brain invasion by meningioma (Hess K, Spille DC, Adeli A, et al: Brain invasion and the risk of seizures in patients with meningioma. J Neurosurg [epub ahead of print April 27, 2018. DOI: 10.3171/2017.11.JNS172265]). In their study, the frequency of symptomatic epilepsy before surgery was 32% and 18% in patients with, respectively, invasive and non-invasive tumors (p = 0.033), and detection of brain invasion was more frequent if preoperative seizures were noted (OR 2.57; p

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Correspondence Mikhail F. Chernov: m_chernov@yahoo.com.

INCLUDE WHEN CITING Published online December 7, 2018; DOI: 10.3171/2018.10.JNS182851.

Disclosures The author reports no conflict of interest.

© AANS, except where prohibited by US copyright law.

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References

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Brokinkel BHess KMawrin C: Brain invasion in meningiomas—clinical considerations and impact of neuropathological evaluation: a systematic review. Neuro Oncol 19:129813072017

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Brokinkel BSicking JSpille DCHess KPaulus WStummer W: Brain invasion and the risk for postoperative hemorrhage and neurological deterioration after meningioma surgery. J Neurosurg 129:8498512018 (Letter)

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Chernov M: Seizures and invasive meningiomas. J Neurosurg 125:161516162016 (Letter)

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Chernov MFKasuya HMuragaki YIseki HOkada Y: Seizures in patients with newly diagnosed intracranial meningiomas may be predictive for invasive tumor growth. Stereotact Funct Neurosurg 91 (Suppl 1):3042013 (Abstract)

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Hess KSpille DCAdeli ASporns PBBrokinkel CGrauer O: Brain invasion and the risk of seizures in patients with meningioma. J Neurosurg [epub ahead of print April 27 2018. DOI: 10.3171/2017.11.JNS172265]

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Brokinkel BHess KMawrin C: Brain invasion in meningiomas—clinical considerations and impact of neuropathological evaluation: a systematic review. Neuro Oncol 19:129813072017

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