Complicaciones neurológicas metastásicas en pacientes con cáncer Journal Article

Author: Dalmau, J.
Article Title: Complicaciones neurológicas metastásicas en pacientes con cáncer
Abstract: Introduction. The neurological complications of patients with cancer may be classified as metastatic or non-metastatic. Development. The development of cerebral metastases (CM) is not only one of the complications most feared by patients, but also often leads doctors to withdraw the systemic treatment of cancer, although early diagnosis and treatment usually alleviates or resolves the neurological deficits, and improves the quality of life and prolongs it. Most CM are originated by embolization of neoplastic cells to the brain. They are therefore found in the region where grey and white matter meet. The commonest symptoms of CM are headache, convulsive crises, altered mental functions, motor deficits, ataxia and speech disorders. Cerebral MR and CT are the most useful investigations in CM. The tumours most frequently involved in metastatic spinal compression are cancer of the lung, prostate, breast and kidney, and non-Hodgkin lymphoma. MR is the investigation of choice, but if this cannot be done, or is contraindicated, myelography or medullary CT using subarachnoid contrast material should be used. Conclusion. In this article we review the diagnosis and management of metastatic neurological complications, specifically cerebral metastases and spinal compression.
Keywords: review; multimodality cancer therapy; combined modality therapy; treatment; nuclear magnetic resonance imaging; brain tumor; brain neoplasms; disease association; metastasis; computer assisted tomography; nonhodgkin lymphoma; spinal cord compression; brain metastasis; neoplasms, second primary; second cancer; motor dysfunction; neurologic disease; tumor embolism; convulsion; cerebral metastases; humans; human; headache and facial pain; metastatic neurological complications; spinal compression
Journal Title: Revista de Neurologia
Volume: 29
Issue: 2
ISSN: 0210-0010
Publisher: Viguera Editores  
Date Published: 1999-01-01
Start Page: 188
End Page: 191
Language: Spanish
PUBMED: 10528338
PROVIDER: scopus
Notes: "Metastatic neurological complications in patients with cancer" -- Export Date: 16 August 2016 -- Source: Scopus
Citation Impact
MSK Authors
  1. Josep O Dalmau
    101 Dalmau