Indications for use of corticosteroids - cerebral oedema from metastatic disease
Role
- Corticosteroids rapidly reduce vasogenic oedema surrounding brain metastases, providing prompt symptomatic relief of raised intracranial pressure symptoms (headache, nausea, focal neurological deficit) while definitive treatment (radiotherapy, surgery) is arranged
- A common indication in patients with known or newly diagnosed brain metastases, particularly when symptomatic at presentation or with significant oedema on imaging
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