{Reference Type}: Journal Article {Title}: Congress of Neurological Surgeons Systematic Review and Evidence-Based Guidelines on the Role of Prophylactic Anticonvulsants in the Treatment of Adults with Metastatic Brain Tumors. {Author}: Chen CC;Rennert RC;Olson JJ; {Journal}: Neurosurgery {Volume}: 84 {Issue}: 3 {Year}: 03 2019 1 {Factor}: 5.315 {DOI}: 10.1093/neuros/nyy545 {Abstract}: Adults with solid brain metastases who have not experienced a seizure.
Do prophylactic antiepileptic drugs (AEDs) decrease the risk of seizures in nonsurgical patients with brain metastases who are otherwise seizure-free?
Level 3: Prophylactic AEDs are not recommended for patients with brain metastases who did not undergo surgical resection and are otherwise seizure-free.
Do prophylactic AEDs decrease the risk of seizures in patients with brain metastases and no prior history of seizures in the postoperative setting?
Level 3: Routine postcraniotomy AED use for seizure-free patients with brain metastases is not recommended.The full guideline can be found at: https://www.cns.org/guidelines/guidelines-treatment-adults-metastatic-brain-tumors/chapter_8.