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Case Reports
Glioblastoma Multiforme in a Patient with Celiac Disease: Management of Seizures after Gross Total Tumor Resection.
- George Fotakopoulos, Alexandros G Brotis, Polikceni Kotlia, and Kostas Fountas.
- Department of Neurosurgery, University of Thessaly, University Hospital of Larissa, Larissa, Greece. Electronic address: gfotakop@yahoo.gr.
- World Neurosurg. 2018 Oct 1; 118: 209-211.
BackgroundA 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 DescriptionThe 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.ConclusionA 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.Copyright © 2018 Elsevier Inc. All rights reserved.
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