CEREBROVASCULAR PROBLEMS

Consensus-based recommendation for surveillance of cerebrovascular problems

This page is part of the PanCare follow-up recommendations for surveillance of late effects. Click here, for more information on these recommendations.

Who is at risk for and should be aware of cerebrovascular problems?

CAYA cancer survivors treated with

  • radiotherapy to a volume exposing the head, brain or neck, including TBI

What cerebrovascular problems might occur?

  • Carotid artery disease

  • Cerebrovascular accidents

  • Aneurysms

  • Cavernomas

What should be done if abnormalities are identified?

  • Discuss the importance of controlling cardiovascular and stroke risk factors (e.g. hypertension, overweight, diabetes, dyslipidaemia, smoking and physical activity)

  • Perform imaging as appropriate and/or refer to a neurologist, neurosurgeon or vascular specialist

Disclaimer

While PanCare strives to provide accurate and complete information that is up-to-date as of the date of publication, we acknowledge that the sequence of referral and diagnostic tests might vary according to the local and national healthcare system logistics.

It is recognised that survivors and their healthcare professionals have the final responsibility for making decisions concerning their long-term follow-up care. As such, they may choose to either adopt these recommendations or not to do so after individual informed discussion. It is good practice to document this decision.

In addition to regular surveillance, real-time awareness and prompt reporting of new symptoms and signs is essential to the early detection and timely treatment of late effects.

No warranty or representation, expressed or implied, is made concerning the accuracy, reliability, completeness, relevance, or timeliness of this information.

The PanCare materials are free to use for anyone aiming to inform about late effects and long-term survivorship care. However, no financial advantage may be achieved. All communication should reference PanCare and link to the PanCare website.