Response to Preoperative Dexamethasone Predicts Postoperative Neurological Improvement of Focal Neurological Deficits in Patients With Brain Metastases.
Stephen G BowdenChristian G Lopez RamosBarry CheaneyEmma RichieNasser K YaghiDaniel N MungerDavid J Mazur-HartHao TanMatthew D WoodJustin S CetasAclan DoganAhmed M RaslanSeunggu J HanPublished in: Neurosurgery (2023)
A response to steroids before surgery is highly predictive of long-term improvement postoperatively in brain metastasis patients with focal neurological deficits. Lack of a response portends a somewhat less favorable prognosis. Duration and intensity of therapy do not seem to affect the likelihood of response.