Specifics about each Level and each Item:
What you do you need to know:
Level 2
•
Identifies neuro-oncological
emergencies and initiates management
Epidural
spinal cord compression
Cerebral Herniation
•
Provides differential diagnosis of
brain or spine mass
Imaging
of brain tumor vs. abscess, stroke, MS
Imaging
of spinal tumor vs. myelitis, AVM, AVF
Level 3
•
Identifies neurologic
complications due to cancer or the treatment of cancer
Metastasis to:
Brain
Meninges
Bone (compression of spinal cord or roots)
Plexus
Peripheral nerve
Paraneoplastic syndromes, including
Lambert-Eaton myasthenic syndrome
Sensory Neuronopathy
Cerebellar degeneration
Limbic encephalitis
Opsoclonus - Myoclonus
Anti-NMDA receptor encephalitis (ovarian teratoma)
Dermatomyositis
Chemotherapy toxicity
Vascular
disorders, including PRES
Chemotherapy associated peripheral neuropathy
Radiation
toxicity
Leukoencephalopathy
Radiation necrosis
Radiation plexopathy
Steroid
myopathy
Opportunistic infections, espeically PML
Hypercoagulability
Seizures
•
Appropriately refers for advanced
testing, including biopsy
Brain and
mengingeal biopsy
Level 4
•
Manages neurologic complications
due to cancer or the treatment of cancer
Metastasis to:
Brain
Meninges
Bone (compression of spinal cord or roots)
Plexus
Peripheral nerve
Paraneoplastic syndromes, including
Lambert-Eaton myasthenic syndrome
Sensory Neuronopathy
Cerebellar degeneration
Limbic encephalitis
Opsoclonus - Myoclonus
Anti-NMDA receptor encephalitis (ovarian teratoma)
Dermatomyositis
Chemotherapy toxicity
Vascular
disorders, including PRES
Chemotherapy associated peripheral neuropathy
Radiation
toxicity
Leukoencephalopathy
Radiation necrosis
Radiation plexopathy
Steroid
myopathy
Opportunistic infections, espeically PML
Hypercoagulability
Nutritional Deficiences, especially Vitamin B1
Seizures
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