Managing Challenging Behaviour in Brain Tumour (BT) Patients

  • Wolfgang Grisold
  • Simon Grisold
  • Alla Guekht
  • Roberta Ruda


Managing patients with brain tumours is not confined to best surgical, radiotherapeutic and chemotherapeutic practices, but also involves the management of behavioural changes that arise from different causes and at different time points of the disease.

These behavioural changes need to be managed and considered from different perspectives; they can also affect the patient’s interactions with health care professionals and carers and can affect the patient’s social interactions.

This chapter will discuss four main causes of behavioural disorders in patients with brain tumours, which can be (1) due to focal or diffuse brain damage, (2) psychiatric effects (3) seizures, (4) the effects of tumour treatment and the overlapping of several different causes.

The time course of malignant brain tumours is usually stereotyped and involves the time of diagnosis, the treatment period, a phase of progression with cognitive decline and an end-of-life phase.

The behavioural changes of brain tumour patients are important not only for the patients and their carers, but also for their interactions with health care professionals and other social contacts. Although the behavioural changes can be directly caused by the strategic localization of the brain tumour, several other causes need to be considered and defined in regard to the selection of therapeutic interventions.


Conflict of Interest

The authors report no conflict of interest and have contributed equally to the chapter.


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Wolfgang Grisold
    • 1
  • Simon Grisold
    • 2
  • Alla Guekht
    • 3
  • Roberta Ruda
    • 4
  1. 1.Ludwig Boltzmann Institute for Experimental und Clinical TraumatologyViennaAustria
  2. 2.Sozialpsychiatrisches Ambulatorium LandstraßeViennaAustria
  3. 3.Moscow Research and Clinical Center for Neuropsychiatry and Russian National Research Medical UniversityMoscowRussia
  4. 4.Department of Neuro-OncologyUniversity and City of Health and Science Hospital of TurinTurinItaly

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