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Published on: July 5, 2021
[Emergent Surgery for Brain Tumors]
Ichiyo Shibahara1, Ryota Shigeeda, Toshihiro Kumabe
1Department of Neurosurgery, Kitasato University School of Medicine.
No Shinkei Geka. Neurological Surgery
|June 1, 2026
Summary
Neuro-oncologic emergencies, including brain tumors, require timely neurosurgical intervention to prevent severe morbidity and mortality. This review details their mechanisms and emergent surgical management.
Area of Science:
- Neurology
- Neurosurgery
- Oncology
Background:
- Brain tumors, though rare, pose significant risks due to the central nervous system's critical functions.
- Untreated brain tumors can lead to severe disability and death, necessitating prompt medical attention.
- These critical situations are termed neuro-oncologic emergencies, requiring specialized neurosurgical expertise.
Purpose of the Study:
- To review the pathophysiological mechanisms of neuro-oncologic emergencies.
- To discuss the role of emergent surgical intervention in managing various brain tumor types.
- To provide an overview based on current scientific literature.
Main Methods:
- Literature review focusing on neuro-oncologic emergencies.
- Analysis of pathophysiological processes.
- Examination of surgical management strategies for specific tumor locations.
Main Results:
- Neuro-oncologic emergencies present unique challenges due to CNS involvement.
- Emergent surgery is crucial for conditions like supratentorial tumors, infratentorial tumors, and pituitary apoplexy.
- Timely intervention significantly impacts patient outcomes.
Conclusions:
- Neurosurgeons are central to managing neuro-oncologic emergencies.
- Understanding pathophysiological mechanisms guides emergent surgical decisions.
- Prompt surgical treatment is vital for improving survival and reducing morbidity in brain tumor emergencies.

