Approach to patients with the neoplasms associated with neurofibromatosis type 1, neurofibromatosis type 2, and schwannomatosis

Jan 3, 2021 by in NEUROLOGY Comments Off on Approach to patients with the neoplasms associated with neurofibromatosis type 1, neurofibromatosis type 2, and schwannomatosis

Introduction Neurofibromatosis type 1 (NF1), neurofibromatosis type 2 (NF2), and schwannomatosis (SWN) are rare tumor suppressor conditions with estimated incidences of 1:3,000, 1:60,000, and 1:100,000, respectively. Although all three conditions…

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Perineural spread of cancer

Jan 3, 2021 by in NEUROLOGY Comments Off on Perineural spread of cancer

Introduction Perineural invasion (PNI) refers to a rare type of contiguous spread of neoplastic cells from their primary site along the potential space between or beneath the layers of perineurium….

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Paraneoplastic neurological disorder syndromes

Jan 3, 2021 by in NEUROLOGY Comments Off on Paraneoplastic neurological disorder syndromes

Introduction Paraneoplastic neurological disorder (PND) syndromes are immune-mediated disorders that affect the central, peripheral, or autonomic nervous system in the setting of a cancer. These disorders are not caused by…

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Neurologic complications of cancer

Jan 3, 2021 by in NEUROLOGY Comments Off on Neurologic complications of cancer

Introduction to medical complications of brain tumors Patients with brain tumors are at risk of many complications from their cancer. Complications may result from direct effects of the tumor itself…

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Approach to the patient with tuberous sclerosis

Jan 3, 2021 by in NEUROLOGY Comments Off on Approach to the patient with tuberous sclerosis

Introduction Tuberous sclerosis complex (TSC) is an autosomal dominant neurocutaneous condition characterized by a predisposition to hamartomas in the brain, heart, kidney, skin, eye, and other organs. TSC is the…

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Approach to the patient with leptomeningeal metastases

Jan 3, 2021 by in NEUROLOGY Comments Off on Approach to the patient with leptomeningeal metastases

Introduction Leptomeningeal spread occurs in both solid tumors and hematologic malignancies. Leptomeningeal disease (LMD) for all primary cancer types portends a very poor prognosis, with survival measured in weeks if…

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Approach to a patient with brain metastasis

Jan 3, 2021 by in NEUROLOGY Comments Off on Approach to a patient with brain metastasis

Introduction Brain metastases are a frequent occurrence in patients with solid malignancies. Up to 40% of patients with solid tumors will develop brain metastases at some point in their disease…

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Approach to the high-grade glioma patient

Jan 3, 2021 by in NEUROLOGY Comments Off on Approach to the high-grade glioma patient

Introduction The broad definition of high-grade glioma encompasses all central nervous system neoplasms that are derived from glial components of the brain and show anaplasia (i.e., poor cellular differentiation, atypia,…

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Approach to the patient with CNS lymphoma

Jan 3, 2021 by in NEUROLOGY Comments Off on Approach to the patient with CNS lymphoma

Introduction Primary central nervous system lymphoma (PCNSL) is defined as lymphoma confined to the central nervous system (CNS) at presentation. By contrast, secondary CNS lymphoma represents a systemic lymphoma (i.e.,…

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