Emergencies >> Cerebral pressure
Brain metastases, primary brain tumors (e. g. gliomas) and cerebral non-Hodgkin lymphoma can lead to increased cerebral pressure. Histology of the tumor is important to plan the therapeutic steps.
Headache, neurologic deficits, confusion
Diagnosis and therapy:
- Physical exam
- Neurological consult (if necessary)
- Biopsy, if possible before cortisone, because the diagnosis may be hindered in NHL!
- Cortisone (e. g. dexamethasone 40 mg / day)
- Treatment of the tumor (chemotherapy / radiotherapy)