Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-745bb68f8f-d8cs5 Total loading time: 0 Render date: 2025-01-27T22:30:20.676Z Has data issue: false hasContentIssue false

Chapter 19 - Brain Tumors and Other Neuro-oncologic Emergencies

from Section 3 - Specific Neurological Disorders in Emergency Medicine

Published online by Cambridge University Press:  10 January 2024

By
Tulika Ranjan  and
Charles J. Feronti
Edited by
Thomas P. Campbell  and
Kevin M. Kelly
Thomas P. Campbell
Affiliation:
Allegheny Health Network, Pittsburgh
Kevin M. Kelly
Affiliation:
Allegheny Health Network, Pittsburgh
Get access

Summary

Neuro-oncologic emergencies encompass a wide variety of complaints and can occur in patients with both CNS and non-CNS malignancies. The differential diagnosis for neurologic symptoms includes brain metastases, primary brain tumor, leptomeningeal disease, spinal cord compression, infection, and neurologic complications of cancer. The emergency physician must consider CNS tumors in their initial differential diagnosis of common chief complaints (e.g., headache, seizure, weakness), and deal with CNS emergencies in patients with established cancer diagnoses.

Keywords

herniation syndromesvasogenic edemaintraparenchymal hemorrhagenonbacterial thrombotic endocarditismetastatic epidural spinal cord compression
Type
Chapter
Information
Handbook of Emergency Neurology , pp. 283 - 294
Publisher: Cambridge University Press
Print publication year: 2023

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bauer, KA. Nonbacterial thrombotic endocarditis. Available at: www.UpToDate.com.Google Scholar
Behl, D, Hendrickson, AW, Moynihan, TJ. Oncologic emergencies. Crit Care Clin 2010;26(1):181–205.CrossRefGoogle ScholarPubMed
Casazza, BA. Diagnosis and treatment of acute low back pain. Am Fam Physician 2012;85(4):343–350.Google Scholar
Dearborn, JL, Urrutia, VC, Zeiler, SR Stroke and cancer: a complicated relationship. J Neurol Transl Neurosci 2014;2(1):1039.Google Scholar
Giglio, P, Gilbert, MR. Neurologic complications of cancer and its treatment. Curr Oncol Rep 2010;12(1):50–59.CrossRefGoogle ScholarPubMed
Grisold, W, Oberndorfer, S, Struhal, W. Stroke and cancer: a review. Acta Neurol Scand 2009;119(1):1–16.Google Scholar
Khan, UA, Shanholtz, CB, McCurdy, MT. Oncologic mechanical emergencies. Emerg Med Clin North Am 2014;32(3):495–508.Google Scholar
Loblaw, DA. Mitera, G, Ford, M, et al. Updated systematic review and clinical practice guideline for the management of malignant extradural spinal cord compression. Int J Radiat Oncol Biol Phys 2011;84(2):312–317.Google Scholar
Navi, BB, Reiner, AS, Kamel, H, et al. Association between incident cancer and subsequent stroke. Ann Neurol 2015;77(2):291–300.Google Scholar
Newton, HB. Neurologic complications of systemic cancer. Am Fam Physician 1999;59(4):878–886.Google ScholarPubMed
Tuma, R, DeAngelis, LM. Altered mental status in patients with cancer. Arch Neurol 2000;57(12):1727–1731.CrossRefGoogle ScholarPubMed
Wen, PY. Overview of the clinical manifestations, diagnosis, and management of patients with brain metastases. Available at: www.UpToDate.com.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×