
Contents
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Introduction Introduction
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Scope of the Problem Scope of the Problem
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Definition Definition
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Pathophysiology Pathophysiology
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Assessment Assessment
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History History
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Headache Headache
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Vomiting Vomiting
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Seizures Seizures
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Cognitive impairment Cognitive impairment
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Other problems Other problems
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Onset Onset
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Children Children
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Examination Examination
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Investigations Investigations
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Making the diagnosis Making the diagnosis
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Other investigations Other investigations
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Monitoring treatment Monitoring treatment
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CSF pressure monitoring CSF pressure monitoring
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Pharmacological treatment Pharmacological treatment
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Steroids Steroids
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Background and mechanism of action Background and mechanism of action
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Choice of steroid Choice of steroid
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Pharmacology Pharmacology
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Dose and duration of treatment Dose and duration of treatment
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Dose reduction Dose reduction
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Steroid withdrawal syndrome Steroid withdrawal syndrome
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Steroid side-effects Steroid side-effects
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Management of side-effects Management of side-effects
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Osmotherapy Osmotherapy
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Anti-emetics Anti-emetics
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Other drugs used in palliative care of raised ICP Other drugs used in palliative care of raised ICP
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Non-pharmacological management Non-pharmacological management
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Shunts Shunts
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Hyperventilation Hyperventilation
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Palliative care issues Palliative care issues
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Management of the terminal phase Management of the terminal phase
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Psychological considerations Psychological considerations
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Other specialists who may help Other specialists who may help
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Liaison with other teams and services Liaison with other teams and services
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References References
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4 The Palliative Management of Raised Intra-Cranial Pressure
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Published:July 2004
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Abstract
This chapter discusses the palliative management of raised intra-cranial pressure. There is little evidence on this, hence the present chapter forms most of its information from small case series, uncontrolled studies, and expert opinion. It focuses on adult malignancy, although some reference has been made to indicate and determine the differences of the disease between adult and children. Topics included are: the pathophysiology of raised intra-cranial pressure; assessment methods for this disease; investigations of the disease through CSF pressure monitoring, computed tomography (CT) scanning, and magnetic resonance imaging (MRI); pharmacological treatment; non-pharmacological treatment; and psychological considerations.
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