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Evaluation of neurological symtoms in oncologic patients at the emergency department

Author , D. López Sánchez, I. Pajares, J.Coves, V.A. Rodríguez , N. Galán, J Gimeno, A. Ferrer, J. Lambea, A. Tres; Hospital Clinico Lozano Blesa, Zaragoza, Spain.

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Evaluation of neurological symtoms in oncologic patients at the emergency department

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  1. Author, D. López Sánchez, I. Pajares, J.Coves, V.A. Rodríguez, N. Galán, J Gimeno, A. Ferrer, J. Lambea, A. Tres; Hospital Clinico Lozano Blesa, Zaragoza, Spain Background:Neurological symptoms in cancer patients are common and some of them represent a potentially serious situation. They are a frequent cause of complaint at the Emergency Department (ED). The aim of the study is to describe the profile of cancer patient who consult at ED for neurological symptoms, their diagnosis and management. Methods:From October 2007 to October 2008, all cancer patients treated at the ED of our hospital were prospectively collected. The reasons for consultation, diagnosis and clinical management are described. Evaluation of neurological symtoms in oncologic patients at the emergency department Results:A total of 560 cancer patients were enrolled. Of them, 61 patients (11%) consulted for a neurologic symptom. Most frequent causes of complaint were: Of the patients who consulted for a neurological symptom, 52% of cases (32 patients) the cause was a structural lesion of central nervous system. Tumor progression was the diagnosis made in 27 patients (44,3%), in 14 patients (23%) the diagnosis was a metabolic alteration. 50 of these patients (82%) were stage IV disease and 30 (49,2%) were receiving chemotherapy treatment. A 69% of patients (42 patients) required hospitalization, 26% was discharged (16 patients) and 5% (3 patients) needed to be under observation during at least 24 hours. Conclusions:Neurological symptom is a frequent cause of complaint at ED for cancer patients. especially in patients in advanced stages. The most frequent diagnosis made because of these symptoms is tumor progression. Metabolic alterations are also an important diagnosis because of their frequency and because they can be solved by medical treatment. Most patients who consult for neurological symptoms need hospitalization. References: 1-Quinn JA, DeAngelis LM. Neurologicemergences in thecancerpacient.SeminOncol. 2000 Jun;27(3):311-21. 2- Rodríguez Sánchez CA, Cruz Hernández JJ. Manual de Urgencias en Oncología. 2ªEdicción Madrid: Luzan 2007. 3- Cabezón Gutierrez L, Marqúes Rodas I, Soria Lovelle A, Á´varez Álvarez R, Muñoz Martín A. Manual CTO de Urgencias Oncológicas.1ªEdición Madrid: CTO Editorial, S.L. 2009.

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