Neoplastic meningitis medical therapy: Difference between revisions
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*The mainstay of therapy for neoplastic meningitis is [[intrathecal chemotherapy]].<ref name="Chamberlain2008">{{cite journal|last1=Chamberlain|first1=M. C.|title=Neoplastic Meningitis|journal=The Oncologist|volume=13|issue=9|year=2008|pages=967–977|issn=1083-7159|doi=10.1634/theoncologist.2008-0138}}</ref> | *The mainstay of therapy for neoplastic meningitis is [[intrathecal chemotherapy]].<ref name="Chamberlain2008">{{cite journal|last1=Chamberlain|first1=M. C.|title=Neoplastic Meningitis|journal=The Oncologist|volume=13|issue=9|year=2008|pages=967–977|issn=1083-7159|doi=10.1634/theoncologist.2008-0138}}</ref> | ||
*Chemotherapy can help in treatment of the total involved [[neuraxis]]. It may be administered systemically or intrathecally. | *Chemotherapy can help in treatment of the total involved [[neuraxis]]. It may be administered systemically or intrathecally. | ||
*Chemotherapeutic drugs can be given intrathecally either by lumbar puncture or via an intraventricular reservoir system. | |||
*Accessing via the intraventricular reservoir system is preferred to lumbar puncture for the following reasons: | |||
:*Simple procedure | |||
:*More comfortable for the patient | |||
:*Safer than repated lumbar punctures | |||
==References== | ==References== |
Revision as of 21:30, 22 January 2016
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Sujit Routray, M.D. [2]
Overview
The mainstay of therapy for neoplastic meningitis is intrathecal chemotherapy.[1]
Medical Therapy
The various treatment options for neoplastic meningitis include:[1]
Treatment of neoplastic meningitis | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Intrathecal chemotherapy | Radiotherapy | Surgery | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Chemotherapy
- The mainstay of therapy for neoplastic meningitis is intrathecal chemotherapy.[1]
- Chemotherapy can help in treatment of the total involved neuraxis. It may be administered systemically or intrathecally.
- Chemotherapeutic drugs can be given intrathecally either by lumbar puncture or via an intraventricular reservoir system.
- Accessing via the intraventricular reservoir system is preferred to lumbar puncture for the following reasons:
- Simple procedure
- More comfortable for the patient
- Safer than repated lumbar punctures