title: [High-grade gliomas in adults].
abstract: BACKGROUND
  High-grade glioma is a primary malignant brain tumour which affects about 200 Norwegian patients each year. Diagnosis and treatment of high-grade gliomas in adults has been reviewed.
  
  
  METHODS
  The article is based on recent literature retrieved through a non-systematic search in PubMed and the authors' experience with the patient group.
  
  
  RESULTS
  The most common symptoms are focal neurological deficits, epileptic seizures and pressure symptoms. The patients should be examined by magnetic resonance (MR) imaging and the diagnosis confirmed with biopsy. No curative treatment is currently available for high-grade gliomas. The standard treatment is surgical resection followed by radiation therapy alone or in combination with chemotherapy (temozolomid). Five-year survival is only 6.1 %.
  
  
  CONCLUSIONS
  The diagnosis is composite with both neurological symptoms and cognitive problems. This requires good communication with the patient and close cooperation between various departments and the primary health services. Symptomatic treatment and multidisciplinary follow-up is necessary.
authors.affiliation: Nevrologisk avdeling, Haukeland universitetssykehus, Seksjon for nevrologiInstitutt for klinisk medisin, Universitetet i Bergen, Bergen. astt@helse-bergen.no
authors.forename: Anette
authors.initials: A
authors.lastname: Storstein
authors.forename: Eirik
authors.initials: E
authors.lastname: Helseth
authors.forename: Tom Børge
authors.initials: TB
authors.lastname: Johannesen
authors.forename: Till
authors.initials: T
authors.lastname: Schellhorn
authors.forename: Sverre
authors.initials: S
authors.lastname: Mørk
authors.forename: René
authors.initials: R
authors.lastname: van Helvoirt
mesh_terms: D000328:Adult; D001932:Brain Neoplasms / Q000175:diagnosis / Q000401:mortality / Q000628:therapy; D003131:Combined Modality Therapy; D005500:Follow-Up Studies; D005910:Glioma / Q000175:diagnosis / Q000401:mortality / Q000628:therapy; D006801:Humans; D033183:Interdisciplinary Communication; D008279:Magnetic Resonance Imaging / Q000379:methods; D009367:Neoplasm Staging; D011379:Prognosis