脑水肿、精神状态改变、癫痫发作、急性中风、软脑膜转移和副肿瘤综合征。

Cerebral edema, altered mental status, seizures, acute stroke, leptomeningeal metastases, and paraneoplastic syndrome.

作者信息

Damek Denise M

机构信息

Neuro-Oncology, University of Colorado Denver School of Medicine, 12631 E. 17th Avenue, MS# B-185, Aurora, CO 80045, USA.

出版信息

Emerg Med Clin North Am. 2009 May;27(2):209-29. doi: 10.1016/j.emc.2009.02.003.

DOI:10.1016/j.emc.2009.02.003

PMID:19447307

Abstract

Neurologic symptoms commonly occur in oncology patients, and in some cases they may be the presenting symptom of malignancy. Cancer-related neurologic syndromes are rarely pathognomonic and must be differentiated from other benign or serious conditions. This article reviews common neuro-oncologic syndromes that may lead to urgent evaluation in the emergency department, including cerebral edema, altered mental status, seizures, acute stroke, leptomeningeal metastases, and paraneoplastic neurologic syndromes.

摘要

神经系统症状在肿瘤患者中很常见，在某些情况下，它们可能是恶性肿瘤的首发症状。癌症相关的神经系统综合征很少具有特异性，必须与其他良性或严重疾病相鉴别。本文综述了一些常见的神经肿瘤综合征，这些综合征可能需要在急诊科进行紧急评估，包括脑水肿、意识状态改变、癫痫发作、急性卒中、软脑膜转移和副肿瘤性神经系统综合征。