Department of Neurological Surgery, Mayo Clinic, Jacksonville, FL, USA.
Department of Neurology and Neurosurgery, Mayo Clinic, Jacksonville, FL, USA.
Curr Oncol Rep. 2022 Aug;24(8):975-984. doi: 10.1007/s11912-022-01259-3. Epub 2022 Mar 30.
Patients with brain and spine tumors are at high risk of presenting cancer-related complications at disease presentation or during active treatment and are usually related to the type and location of the lesion. Here, we discuss presentation and management of the most common emergencies affecting patients with central nervous system neoplastic lesions.
Tumor-related emergencies encompass complications in patients with central nervous system neoplasms, as well as neurologic complications in patients with systemic malignancies. Brain tumor patients are at high risk of developing multiple complications such as intracranial hypertension, brain herniation, intracranial bleeding, spinal cord compression, and others. Neuro-oncologic emergencies require immediate attention and multi-disciplinary care. These emergent situations usually need rapid decision-making and management on an inpatient basis.
脑和脊柱肿瘤患者在疾病发生或积极治疗期间发生癌症相关并发症的风险很高，且这些并发症通常与病变的类型和位置有关。在这里，我们讨论了影响中枢神经系统肿瘤患者的最常见急症的表现和处理。
肿瘤相关急症包括中枢神经系统肿瘤患者的并发症以及全身恶性肿瘤患者的神经系统并发症。脑肿瘤患者发生多种并发症的风险较高，如颅内压升高、脑疝、颅内出血、脊髓压迫等。神经肿瘤急症需要立即关注和多学科治疗。这些紧急情况通常需要在住院基础上快速决策和管理。
