Emergency neurooncological care in patients with malignant tumors in a city hospital
https://doi.org/10.56618/2071-2693_2023_15_3_110
Abstract
ABSTRACT. Patients with malignant tumors are prone to a variety of neurological complications that require urgent evaluation and treatment.
PURPOSE. To analyze the results of urgent neurosurgical interventions in the postoperative period in patients with malignant neurooncological pathology.
MATERIALS AND METHODS. In total, the results of 63 patients who underwent emergency neurosurgical operations for complications of malignant oncological diseases from 2016 to 2022 at the St. Petersburg State Budgetary Institution of Healthcare “Mariinsky City Hospital” were analyzed. The analysis included information on age, gender, primary location of the tumor, level of consciousness before surgery, histopathological diagnosis and the presence of metastases, the leading complication facilitating urgent intervention, and the volume of surgical intervention performed.
RESULTS. In the postoperative period, most patients showed partial regression of neurological deficit in 22 (34.9 %) patients or no dynamics in 18 (28.6 %) patients, an increase in neurological deficit in 8 (12.7 %) patients, complete regression of neurological deficit in 2 (3.2 %). 13 patients (20.6 %) had a lethal outcome during the same hospitalization.
CONCLUSION. A timely and well-thought-out surgical intervention, taking into account the general somatic status of the patient, the nature of the oncological disease, can preserve neurological functions, prolong survival and improve the quality of life.
About the Authors
A. Yu. Rynda
SPB GBUZ “Mariinsky City Hospital” Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Rynda Artemii Yurievich
Liteynyy prospect, 56, St. Petersburg, 191014
O. A. Pavlov
SPB GBUZ “Mariinsky City Hospital” Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Pavlov Oleg Anatolievich
Liteynyy prospect, 56, St. Petersburg, 191014
O. P. Verbitsky
SPB GBUZ “Mariinsky City Hospital” Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Verbitsky Oleg Petrovich
Liteynyy prospect, 56, St. Petersburg, 191014
M. Yu. Podgornyak
SPB GBUZ “Mariinsky City Hospital” Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Podgornyak Marina Yurievna
Liteynyy prospect, 56, St. Petersburg, 191014
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Review
For citations:
Rynda A.Yu., Pavlov O.A., Verbitsky O.P., Podgornyak M.Yu. Emergency neurooncological care in patients with malignant tumors in a city hospital. Russian Neurosurgical Journal named after Professor A. L. Polenov. 2023;15(3):110-115. (In Russ.) https://doi.org/10.56618/2071-2693_2023_15_3_110
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