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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">epilepsia</journal-id><journal-title-group><journal-title xml:lang="en">Epilepsy and paroxysmal conditions</journal-title><trans-title-group xml:lang="ru"><trans-title>Эпилепсия и пароксизмальные состояния</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2077-8333</issn><issn pub-type="epub">2311-4088</issn><publisher><publisher-name>IRBIS LLC</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.17749/2077-8333/epi.par.con.2021.099</article-id><article-id custom-type="elpub" pub-id-type="custom">epilepsia-733</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>SCIENTIFIC SURVEYS</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>НАУЧНЫЕ ОБЗОРЫ</subject></subj-group></article-categories><title-group><article-title>Treatment of epilepsy associated with primary and metastatic brain tumors</article-title><trans-title-group xml:lang="ru"><trans-title>Лечение эпилепсии, ассоциированной с первичными и метастатическими опухолями головного мозга</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8712-4775</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Лебедева</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Lebedeva</surname><given-names>A V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Лебедева Анна Валерьяновна – д.м.н., профессор кафедры неврологии, нейрохирургии и медицинской генетики лечебного факультета; заведующая организационно-методическим отделом по неврологии</p><p>ул. Островитянова, д. 1, Москва 117997</p><p>ул. Шарикоподшипниковская, д. 9, Москва 115088</p><p>РИНЦ SPIN-код: 3515-2408</p></bio><bio xml:lang="en"><p>Anna V. Lebedeva – Dr. Med. Sc., Professor, Chair of Neurology, Neurosurgery and Medical Genetics, Faculty of Medicine; Head of Organizational and Methodological Department of Neurology</p><p>1 Ostrovityanov Str., Moscow 117997</p><p>9 Sharikopodshipnikovskaya Str., Moscow 115088</p><p>RSCI SPIN-code: 3515-2408</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0804-7076</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Бурд</surname><given-names>С. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Burd</surname><given-names>S. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Бурд Сергей Георгиевич – д.м.н., профессор кафедры неврологии, нейрохирургии и медицинской генетики лечебногофакультета; руководитель отдела эпилепсии и пароксизмальных состояний</p><p>ул. Островитянова, д. 1, Москва 117997</p><p>ул. Островитянова, д. 1, стр. 10, Москва 117513</p><p>РИНЦ SPIN-код: 1484-0178</p></bio><bio xml:lang="en"><p>Sergey G. Burd – Dr. Med. Sc., Professor, Chair of Neurology, Neurosurgery and Medical Genetics, Faculty of Medicine; Head of Department of Epilepsy and Paroxysmal Conditions</p><p>1 Ostrovityanov Str., Moscow 117997</p><p>1 bld. 10 Ostrovityanov Str., Moscow 117513</p><p>RSCI SPIN-code: 1484-0178</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8321-5864</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Власов</surname><given-names>П. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Vlasov</surname><given-names>P. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Власов Павел Николаевич – д.м.н., профессор кафедры нервных болезней</p><p>ул. Делегатская, д. 20/1, Москва 127473</p><p>Scopus Author ID: 7101688064</p><p>РИНЦ SPIN-код: 9357-2284</p></bio><bio xml:lang="en"><p>Pavel N. Vlasov – Dr. Med. Sc., Professor, Chair of Nervous Diseases</p><p>20/1 Delegatskaya Str., Moscow 127473</p><p>Scopus Author ID: 7101688064</p><p>RSCI SPIN-code: 9357-2284</p></bio><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ермоленко</surname><given-names>Н. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Ermolenko</surname><given-names>N. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ермоленко Наталия Александровна – д. м. н., заведующая кафедрой неврологии; заведующая неврологическим отделением № 2</p><p>ул. Студенческая, д. 10, Воронеж 394036</p><p>ул. Бурденко, д. 1, Воронеж 394024</p><p>РИНЦ SPIN-код: 8604-1145</p></bio><bio xml:lang="en"><p>Natalia A. Ermolenko – Dr. Med. Sc., Chief of Chair of Neurology No. 1; Head of Neurological Department No. 2</p><p>10 Studencheskaya Str., Voronezh 394036</p><p>1 Burdenko Str., Voronezh 394024</p><p>RSCI SPIN-code: 8604-1145</p></bio><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Жидкова</surname><given-names>И. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Zhidkova</surname><given-names>I. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Жидкова Ирина Александровна – д.м.н., профессор кафедры нервных болезней</p><p>ул. Делегатская, д. 20/1, Москва 127473</p><p>РИНЦ SPIN-код: 5498-6921</p></bio><bio xml:lang="en"><p>Irina A. Zhidkova – Dr. Med. Sc., Professor, Chair of Nervous Diseases</p><p>20/1 Delegatskaya Str., Moscow 127473</p><p>RSCI SPIN-code: 5498-6921</p></bio><email xlink:type="simple">irina.zhidkova@gmail.com</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6348-6867</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Зырянов</surname><given-names>С. К.</given-names></name><name name-style="western" xml:lang="en"><surname>Zyryanov</surname><given-names>S. K.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Зырянов Сергей Кенсаринович – д.м.н., профессор, заведующий кафедрой общей и клинической фармакологии; заместитель главного врача по терапии</p><p>ул. Миклухо-Маклая, д. 8, корп. 2, Москва 117198</p><p>ул. Писцовая, д. 10, Москва 127015</p><p>Scopus Author ID: 35796816700</p><p>РИНЦ SPIN-код: 2725-9981</p></bio><bio xml:lang="en"><p>Sergey K. Zyryanov – Dr. Med. Sc., Professor, Chief of Chair of General and Clinical Pharmacology; Deputy Chief Physician for Therapy</p><p>8 corp. 2 Miklukho-Maklay Str., Moscow 117198</p><p>10 Pistsovaya Str., Moscow 127015</p><p>RSCI SPIN-code: 2725-9981</p></bio><xref ref-type="aff" rid="aff-5"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ковалева</surname><given-names>И. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Kovaleva</surname><given-names>I. Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ковалева Ирина Юрьевна – к.м.н., профессор кафедры неврологии, нейрохирургии и медицинской генетики лечебного факультета</p><p>ул. Островитянова, д. 1, Москва 117997</p></bio><bio xml:lang="en"><p>Irina Yu. Kovaleva – MD, PhD, Professor, Chair of Neurology, Neurosurgery and Medical Genetics, Faculty of Medicine</p><p>1 Ostrovityanov Str., Moscow 117997</p><p> </p></bio><xref ref-type="aff" rid="aff-6"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4218-9652</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Насхлеташвили</surname><given-names>Д. Р.</given-names></name><name name-style="western" xml:lang="en"><surname>Naskhletashvili</surname><given-names>D. R.</given-names></name></name-alternatives><bio xml:lang="ru"><p>асхлеташвили Давид Романович – к.м.н., cтарший научный сотрудник нейрохирургического отделения</p><p>Каширское ш., д. 24, Москва 115478</p><p>РИНЦ SPIN-код: 3038-5710</p></bio><bio xml:lang="en"><p>David R. Naskhletashvili – MD, PhD, Senior Researcher, Neurosurgical Department, Research Institute of Clinical Oncology</p><p>24 Kashirskoye Hwy, Moscow 115478</p><p>RSCI SPIN-code: 3038-5710</p></bio><xref ref-type="aff" rid="aff-7"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Перунова</surname><given-names>Н. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Perunova</surname><given-names>N. Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Перунова Наталья Юрьевна – д. м. н., врач невролог, эпилептолог</p><p>ул. Амундсена, д. 52, Екатеринбург 620146</p></bio><bio xml:lang="en"><p>Natalia Yu. Perunova – Dr. Med. Sc., Neurologist, Epileptologist, Neurology Medical Center</p><p>52 Amundsen Str., Ekaterinburg 620146</p><p> </p></bio><xref ref-type="aff" rid="aff-8"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Рудакова</surname><given-names>И. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Rudakova</surname><given-names>I. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Рудакова Ирина Геннадьевна – д.м.н., профессор кафедры неврологии</p><p>ул. Щепкина, д. 61/2, стр. 6, Москва 129110</p><p>РИНЦ SPIN-код: 3832-4770</p></bio><bio xml:lang="en"><p>Irina G. Rudakova – Dr. Med. Sc., Professor, Chair of Neurology</p><p>61/2 bld. 6 Shchepkin Str., Moscow 129110</p><p>RSCI SPIN-code: 3832-4770</p></bio><xref ref-type="aff" rid="aff-9"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шихкеримов</surname><given-names>Р. К.</given-names></name><name name-style="western" xml:lang="en"><surname>Shikhkerimov</surname><given-names>R. K.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Шихкеримов Рафиз Каирович – д.м.н., врач-невролог</p><p>Кутузовский пр-т, д. 20, Москва 121151</p><p>Домодедовская ул., д. 9, Москва 115551</p><p>РИНЦ SPIN-код: 6191-5433</p></bio><bio xml:lang="en"><p>Rafiz K. Shikhkerimov – Dr. Med. Sc., Neurologist</p><p>20 Kutuzovskiy Ave, Moscow 121151</p><p>9 Domodedovskaya Str., Moscow 115551</p><p>RSCI SPIN-code: 6191-5433</p></bio><xref ref-type="aff" rid="aff-10"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ямин</surname><given-names>М. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Yamin</surname><given-names>M. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ямин Максим Анатольевич – к.м.н., руководитель Областного эпилептологического центра; ассистент кафедры персонализированной и трансляционной медицины</p><p>ул. Пушкинская, д. 127, Ростов-на-Дону 344000</p><p>Нахичеванский пер., д. 29, Ростов-на-Дону 344022</p><p>РИНЦ SPIN-код: 3726-5656</p></bio><bio xml:lang="en"><p>Maksim A. Yamin – MD, PhD, Head of Regional Epileptology Center; Assistant Professor, Chair of Personalized and Translational Medicine</p><p>127 Pushkinskaya Str., Rostov-on-Don 344000</p><p>29 Nakhichevanskiy Aly,Rostov-on-Don 344022</p><p>RSCI SPINcode: 3726-5656</p></bio><xref ref-type="aff" rid="aff-11"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Федеральное государственное автономное образовательное учреждение высшего образования «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Министерства здравоохранения Российской Федерации; Государственное бюджетное учреждение «Научно-исследовательский институт организации здравоохранения и медицинского менеджмента» Департамента здравоохранения г. Москвы</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Pirogov Russian National Research Medical University; Research Institute of Healthcare Organization and Medical Management</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Федеральное государственное автономное образовательное учреждение высшего образования «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Министерства здравоохранения Российской Федерации; Федеральное государственное бюджетное учреждение «Федеральный центр мозга и нейротехнологий» Федерального медико-биологического агентства России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Pirogov Russian National Research Medical University; Federal Center for Brain and Neurotechnology</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное образовательное учреждение высшего образования «Московский государственный медико-стоматологический университет им. А.И. Евдокимова» Министерства здравоохранения Российской Федерации</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Yevdokimov Moscow State University of Medicine and Dentistry</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное образовательное учреждение высшего образования «Воронежский государственный медицинский университет им. Н.Н. Бурденко» Министерства здравоохранения Российской Федерации; Бюджетное учреждение здравоохранения Воронежской области «Воронежская областная детская клиническая больница № 1»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Burdenko Voronezh State Medical University; Voronezh Regional Children's Clinical Hospital No. 1</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-5"><aff xml:lang="ru"><institution>Федеральное государственное автономное образовательное учреждение высшего образования «Российский университет дружбы народов»; Государственное бюджетное учреждение здравоохранения «Городская клиническая больница № 24» Департамента здравоохранения г. Москвы</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Peoples’ Friendship University of Russia; City Clinical Hospital No. 24</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-6"><aff xml:lang="ru"><institution>Федеральное государственное автономное образовательное учреждение высшего образования «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Pirogov Russian National Research Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-7"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное учреждение «Национальный медицинский исследовательский центр онкологии им. Н.Н. Блохина» Министерства здравоохранения Российской Федерации</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Blokhin National Medical Research Center of Oncology</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-8"><aff xml:lang="ru"><institution>Общество с ограниченной ответственностью «Медицинский центр "Неврология"»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Medical Center "Neurology</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-9"><aff xml:lang="ru"><institution>Государственное бюджетное учреждение здравоохранения Московской обл. «Московский областной научно-исследовательский клинический институт им. М.Ф. Владимирского»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Vladimirskiy Moscow Regional Research Clinical Institute</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-10"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное учреждение «Поликлиника № 4» Управления делами Президента Российской Федерации; Государственное бюджетное учреждение здравоохранения «Городская поликлиника № 166» Департамента здравоохранения г. Москвы</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Polyclinic No. 4, Department of Affairs of the President of the Russian Federation; City Polyclinic No. 166</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-11"><aff xml:lang="ru"><institution>Государственное автономное учреждение Ростовской обл. «Областной консультативно-диагностический центр»; Федеральное государственное бюджетное образовательное учреждение высшего образования «Ростовский государственный медицинский университет» Министерства здравоохранения Российской Федерации</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Regional Consultative and Diagnostic Center; Rostov State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2021</year></pub-date><pub-date pub-type="epub"><day>28</day><month>10</month><year>2021</year></pub-date><volume>13</volume><issue>3</issue><fpage>286</fpage><lpage>304</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Lebedeva A.V., Burd S.G., Vlasov P.N., Ermolenko N.A., Zhidkova I.A., Zyryanov S.K., Kovaleva I.Y., Naskhletashvili D.R., Perunova N.Y., Rudakova I.G., Shikhkerimov R.K., Yamin M.A., 2021</copyright-statement><copyright-year>2021</copyright-year><copyright-holder xml:lang="ru">Лебедева А.В., Бурд С.Г., Власов П.Н., Ермоленко Н.А., Жидкова И.А., Зырянов С.К., Ковалева И.Ю., Насхлеташвили Д.Р., Перунова Н.Ю., Рудакова И.Г., Шихкеримов Р.К., Ямин М.А.</copyright-holder><copyright-holder xml:lang="en">Lebedeva A.V., Burd S.G., Vlasov P.N., Ermolenko N.A., Zhidkova I.A., Zyryanov S.K., Kovaleva I.Y., Naskhletashvili D.R., Perunova N.Y., Rudakova I.G., Shikhkerimov R.K., Yamin M.A.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.epilepsia.su/jour/article/view/733">https://www.epilepsia.su/jour/article/view/733</self-uri><abstract><p>There is a number of unsolved issues in management of epilepsy associated with primary and metastatic brain tumors (BTs). In particular, no consensus approaches to treatment of patients with epilepsy associated with BTs have been proposed regarding use of current anti-epileptic drugs (AEDs). The review presents the relevant data on epidemiology, features of clinically manifested epilepsy at varying stages of BTs, aspects of drug-drug interaction between AEDs and anti-tumor agents, AED-related effects on cognitive functions as well as quality of life in patients with epilepsy associated with BTs. Levetiracetam and valproic acid comprise the first-line drugs for treating seizures in patients with BTs. It is unreasonable to use AEDs acting as hepatic microsomal enzyme inducers for therapy of epileptic seizures in BTs, because it may decrease efficacy of chemotherapy agents and glucocorticoids along with elevated rate of side effects. Perampanel acting as a selective noncompetitive AMPA receptor antagonist, may be one of the drugs of choice for the adjunctive therapy of epileptic seizures associated with BTs.</p></abstract><trans-abstract xml:lang="ru"><p>В ведении пациентов с эпилепсией, ассоциированной с первичными и метастатическими опухолями головного мозга (ОГМ), существует ряд нерешенных вопросов. В частности, не выработано единых подходов к лечению больных эпилепсией, связанной с ОГМ, с использованием современных противоэпилептических препаратов (ПЭП). В обзоре обобщены актуальные данные по эпидемиологии, особенностям клинических проявлений эпилепсии на различных стадиях ОГМ, аспектам межлекарственных взаимодействий ПЭП с противоопухолевыми препаратами, влиянию ПЭП на когнитивные функции и качество жизни пациентов с эпилепсией, ассоциированной с ОГМ. Препаратами первой линии терапии приступов у больных с ОГМ признаны леветирацетам и вальпроевая кислота. ПЭП, являющиеся индукторами микросомальных ферментов печени, в лечении эпилептических приступов при ОГМ применять нецелесообразно, поскольку может снижаться эффективность химиотерапевтических препаратов и глюкокортикоидов и увеличиваться количество побочных эффектов. Перампанел, действующий как селективный неконкурентный антагонист AMPA-рецепторов, может быть одним из препаратов выбора для дополнительной терапии эпилептических приступов, ассоциированных с ОГМ.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>Эпилепсия</kwd><kwd>судорожный синдром</kwd><kwd>опухоль головного мозга</kwd><kwd>ОГМ</kwd><kwd>рак</kwd><kwd>особенности ведения</kwd><kwd>перампанел</kwd><kwd>качество жизни</kwd></kwd-group><kwd-group xml:lang="en"><kwd>Epilepsy</kwd><kwd>convulsive syndrome</kwd><kwd>cerebral tumor</kwd><kwd>BT</kwd><kwd>cancer</kwd><kwd>management features</kwd><kwd>perampanel</kwd><kwd>quality of life</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">DeAngelis L.M. Brain tumors. N Engl J Med. 2001; 344 (2): 114–23. https://doi.org/10.1056/NEJM200101113440207.</mixed-citation><mixed-citation xml:lang="en">DeAngelis L.M. Brain tumors. 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