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Hirndruck und epileptische Anfälle

Intracranial pressure and epileptic seizures

  • Palliativmedizin und Supportivtherapie
  • Published:
Der Onkologe Aims and scope

Zusammenfassung

Hintergrund

Hirndruck und epileptische Anfälle sind für Patienten mit Metastasen im Gehirn sehr belastende und oft lebensgefährliche Symptome. Es ist daher notwendig, die Ursachen und verschiedenen Behandlungsmöglichkeiten zu kennen, um ein differenziertes Vorgehen zu ermöglichen.

Ziel

Der Autor hat aktuelle Empfehlungen und eigene Erfahrungen in der Symptomkontrolle zusammengefasst.

Methode

Selektive Literaturrecherche, Auswertung eigener Erfahrungen.

Ergebnisse und Schlussfolgerung

Neben der symptomorientierten Therapie – Behandlung des metastasenbedingten Hirndruckanstiegs und epileptischer Anfälle – ist auch eine begleitende, angstreduzierende Therapie einzuleiten.

Abstract

Context

Increased intracranial pressure and epileptic seizures are severe and often life-threatening symptoms for patients with brain metastases. Therefore, it is necessary to know the causes and various treatment options in order to allow a differentiated approach.

Objective

This article summarizes the current guidelines and own experiences in the treatment of these symptoms.

Method

Selective research of the literature and evaluation of own experiences.

Results and conclusion

In addition to symptom-oriented therapy, i.e. treatment of metastasis-related increase in intracranial pressure and epileptic seizures, a supplementary therapy for reduction in anxiety must also be initiated.

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Einhaltung der ethischen Richtlinien

Interessenkonflikt. S. Lorenzl gibt an, dass kein Interessenkonflikt besteht. Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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Authors and Affiliations

  1. Klinik und Poliklinik für Neurologie und Klinik für Palliativmedizin, Klinikum Großhadern, Marchioninistr. 15, 81377, München, Deutschland

    S. Lorenzl

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  1. S. Lorenzl
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Correspondence to S. Lorenzl.

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Lorenzl, S. Hirndruck und epileptische Anfälle. Onkologe 20, 261–266 (2014). https://doi.org/10.1007/s00761-013-2578-x

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  • DOI: https://doi.org/10.1007/s00761-013-2578-x

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