National Institutes of Health/ National Cancer Institute/Neuro-Oncology Branch, 9030 Old Georgetown Road, Building 82, MD, 20892, Bethesda, USA.
Curr Oncol Rep. 2022 Oct;24(10):1251-1259. doi: 10.1007/s11912-022-01280-6. Epub 2022 May 11.
This article reviews the risk factors, clinical presentations, differential diagnosis, and the types of strokes frequently seen in patients with primary brain neoplasms. This includes a discussion of approaches with a review of the available literature and provides recommendations for primary and secondary prevention specific to this patient population.
Strokes in patients with brain tumors are often multifactorial. However, tailored approaches to stroke care are necessary to achieve optimal patient outcomes, AHA/ASA stroke guidelines provide little information on the management of stroke in cancer patients. A comprehensive algorithm for diagnosis for stroke in primary CNS tumor patients is proposed. Understanding the potential complex etiology of stroke in patients with brain tumors is essential to provide appropriate treatment and initiate optimal prevention measures early in the cancer treatment program. Optimal care therefore requires a comprehensive approach including a variety of specialists and healthcare providers.
本文回顾了原发性脑肿瘤患者中常见的脑卒中的危险因素、临床表现、鉴别诊断和类型。其中包括对风险因素的讨论，以及对现有文献的回顾，并针对该患者人群提出了一级和二级预防的建议。
脑肿瘤患者的脑卒中通常是多因素的。然而，为了达到最佳的患者预后，需要采取有针对性的脑卒中治疗方法。AHA/ASA 脑卒中指南对癌症患者脑卒中的管理提供的信息很少。本文提出了一种针对原发性中枢神经系统肿瘤患者脑卒中诊断的综合算法。了解脑肿瘤患者脑卒中的潜在复杂病因对于提供适当的治疗并在癌症治疗计划早期启动最佳预防措施至关重要。因此，最佳治疗需要综合方法，包括各种专家和医疗服务提供者。
