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Emergencies >> Cerebral pressure

Background:

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.

Symptoms:

Headache, neurologic deficits, confusion

Diagnosis and therapy:

  1. Physical exam
  2. CT/MRI
  3. Neurological consult (if necessary)
  4. Biopsy, if possible before cortisone, because the diagnosis may be hindered in NHL!
  5. Cortisone (e. g. dexamethasone 40 mg / day)
  6. Treatment of the tumor (chemotherapy / radiotherapy)
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