The Efficacy of Surgery for Supra-Tentorial Gliomas in Preventing Seizures | [Pakistan Journal of Neurological Surgery • 2022]

Author(s):

1. Muhammad Tariq: Northwest General Hospital & Research,Peshawar, Pakistan

2. Adnan Munir: Khyber Teaching Hospital,MTI,Peshawar, Pakistan

3. Mushtaq Ahmad Mian: Rehman Medical Institute,Hayatabad, Peshawar, Pakistan

4. Muhammad Farooq: Afridi Medical Complex,Peshawar, Pakistan

5. Irfan Jan: Northwest General Hospital & Research,Peshawar, Pakistan

6. Faiqa Filza: Northwest General Hospital & Research,Peshawar, Pakistan

7. Mustafa Qazi: Northwest School of Medicine,Peshawar -,Pakistan

8. Khial Jalal: Northwest General Hospital & Research,Peshawar, Pakistan

Abstract:

Objectives: The study examined the surgical outcome of supratentorial gliomas in terms of improvement in seizures in patients who presented to a tertiary care institution. Material and Methods: A descriptive case series was conducted in Neurosurgery Department at Northwest General Hospital & Research, Peshawar. Patients (n = 95) with supratentorial gliomas with seizures between 18 - 70 years were included. Supratentorial gliomas were diagnosed by neuroimaging as MRI brain with contrast, diffusion-weighted, Fluid-attenuated inversion recovery, and magnetic resonance spectroscopy. The patient was observed for seizures postoperatively. Data was stratified for age and gender. Results: The majority of patients (36.8%) were in 41 - 50 years. 55.78% of patients were males whereas 44.21% of patients were females. 42 (44.21%) involved the frontal lobe, 16 (16.84%) involved the parietal lobe, 26 (27.36%) involved the temporal lobe, and 11 (11.57%) patients involved the occipital lobe. According to Engel's classification, 53 patients were in class I, 16 in class II, 10 in class III, and 5 in class IV. 84 (88.42%) experienced post-op seizure reduction. An insignificant association was found with the seizure improvement (yes/no) with different age groups and gender. Conclusion: The frontal lobe was the most prevalent location for supratentorial gliomas. After surgery, a large proportion of patients improved in terms of seizure management.

Page(s): 142-152

DOI: 10.36552/pjns.v26i1.653

Published: Journal: Pakistan Journal of Neurological Surgery, Volume: 26, Issue: 1, Year: 2022

Keywords:

Seizures , Supratentorial gliomas

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