Tomographic findings in cranioencephalic emergencies of cancer patients
Keywords:
findings, cancer, emergencies, neuro-oncology.Abstract
Introduction: Intracranial metastasis is the most common neurological complication in cancer patients. Its incidence is rising now days due to the improvements in diagnosis capacity by using neuroimagin technics, therefore its treatment has improved life expectancy
Objective: To describe the tomographic findings in patients with neuro-oncological emergencies.
Methods: A descriptive observational study was carried out.
Results: A total of 47 patients were studied. Lung cancer (71.4%) was the most common location of the primary tumor in males and breast cancer (36.4%) in females. The predominant clinical manifestations were hemiparesis/hemiplegia (34%) and headache (23.4%). The most frequent tomographic lesions were hyperdense (38.3%) and hypodense (31.9%). Among the hyperdense, intra-axial (42.9%) and supratentorial (35.1%) predominated. Among the hypodense, the most common were infratentorial (46.7%) and intra-axial (35.7%). The predominant definitive diagnosis was brain metastasis (66%), intracranial hypertension (42.6%) and cerebral edema (40.4%).
Conclusions: Tomographic images allow timely diagnostic guidance and constitute a valuable tool for adequate treatment.
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References
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