Is leptomeningeal dissemination in oligodendroglioma predictable? Evidence from a scoping review
By
Hanna Veronika Salvotti
Francesco Brigo
Paolo Cipriano Cecchi
Davide Costazza
Vania Pirillo
Luca Zavatto
Francesco Erdini
Andreas Schwarz
Pier Paolo Berti
June 15, 2026
Clinical Scorecard: Can Leptomeningeal Dissemination in Oligodendroglioma Be Anticipated? Insights from a Scoping Review
At a Glance
Category Detail
Condition
Key Mechanisms IDH mutation and 1p/19q co-deletion.
Target Population Patients with histologically confirmed Oligodendroglioma.
Care Setting
Key Highlights
LMD in ODG is rare. Mean age at LMD diagnosis is 43.1 years with male predominance. 85.7% of patients had WHO grade 3 ODG at LMD diagnosis. Median survival after LMD is 9.9 months.
Guideline-Based Recommendations
Diagnosis
Monitor for symptoms of LMD in patients with ODG.
Management
Current management is largely palliative.
Monitoring & Follow-up
Long-term MRI surveillance in selected patients.
Risks
LMD is associated with rapid neurological decline.
Patient & Prescribing Data
Chemotherapy, radiotherapy, and surgery are utilized.
Clinical Best Practices
Consider MRI surveillance for patients at risk of LMD.
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