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Area of Science:

  • Neuro-oncology
  • Hematology
  • Vascular Medicine

Background:

  • Arterial and venous thromboses are prevalent in glioma patients, occurring perioperatively and during disease progression.
  • High-grade gliomas are associated with hypercoagulability, increasing thrombotic risk due to immobility and neurological deficits.

Purpose of the Study:

  • To review the epidemiology, risk factors, and management strategies for thrombotic complications in glioma patients.
  • To address the lack of standardized management approaches and historical concerns regarding anticoagulation.

Main Methods:

  • Literature review focusing on studies investigating thrombotic events in glioma patients.
  • Analysis of historical practices and current evidence regarding anticoagulation safety and efficacy.

Main Results:

  • Multiple studies confirm the safety and efficacy of anticoagulation in indicated glioma patients.
  • Low molecular weight heparin is identified as a preferred treatment for short- and long-term anticoagulation.

Conclusions:

  • Despite historical concerns about hemorrhage, anticoagulation is a viable and effective strategy for managing thrombosis in glioma.
  • Standardized management protocols are needed to optimize care for glioma patients at risk of thrombotic events.