Clinical Features and Prognostic Outcomes of Epilepsy in Individuals with Pleomorphic Xanthoastrocytomas
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By
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Cody L. Nathan
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Dina Ghandour
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Elizabeth M. Cunningham
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Rimas V. Lukas
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Jared Sullivan
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Sean Sachdev
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Jessica W. Templer
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June 19, 2026
Objective:
To explore clinical, pathologic, and EEG features that may impact seizure outcomes in patients with PXAs and tumor-related epilepsy.
Approach:
Key Findings:
- 76% of patients with PXA had tumor-related epilepsy.
- The mean age at diagnosis was 32 years, with a range of 10 to 71 years.
- The most frequent tumor location was the temporal lobe (47.4%).
- Higher initial tumor volume trended towards worse seizure outcomes, but this was not statistically significant.
- Gross total resection was performed in 57.8% of patients.
Interpretation:
Limitations:
- Small sample size of 25 patients.
- Limited statistical significance for some findings.
- Potential biases in retrospective data collection.
Conclusion: