Neuro-oncologic emergencies are commonly encountered in critical care. Rapidly evolving biological therapies for cancer offer patients exciting benefits, but have also created new sets of complications (e.g., checkpoint inhibitor-induced encephalitis). Patients may be suffering from complications of the malignancy itself, complications of therapy, or wholly unrelated problems.
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Josh is the creator of PulmCrit.org. He is an associate professor of Pulmonary and Critical Care Medicine at the University of Vermont.
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Josh, excellent as usual. One comment. Pseudoprogression is more associated with temozolomide AND XRT than XRT alone. One question. Epidural SCC is an emergency until some window has passed. The question is how long? I have read 48h, but I would love to see some expert guidance. For example, epidural SCC plus shock may prevent XRT or surgery until stable, but then what? Thanks! Anant
Hey, it was an amazing article thanks for sharing.
Keep up the good work.