title: Central nervous system metastases.
abstract: OBJECTIVE
  To provide an overview and up-to-date information on the presentation and treatment of central nervous system (CNS) metastases, including brain metastases, spinal cord compression, and leptomeningeal metastases.
  
  
  METHODS
  Published articles, research reports, and book chapters pertaining to CNS metastases.
  
  
  CONCLUSIONS
  Most patients with CNS metastases have a limited life expectancy. Therapies are palliative, except in select patients who have improved chances for long-term control or occasional cures. In general, early detection and treatment of CNS metastases prevents devastating neurological disabilities.
  
  
  CONCLUSIONS
  Nurses across all health care settings can play an important role in early recognition of signs and symptoms of CNS metastases, and assist patients and families in preventing devastating neurological disabilities. Nurses are also frontline care providers for patients requiring various treatments and rehabilitation for metastatic CNS disease.
authors.affiliation: Division of Radiation Oncology, Johns Hopkins Oncology Center, Baltimore, MD, USA.
authors.forename: J D
authors.initials: JD
authors.lastname: Bucholtz
mesh_terms: D001932:Brain Neoplasms / Q000451:nursing* / Q000556:secondary* / Q000628:therapy; D016543:Central Nervous System Neoplasms / Q000473:pathology*; D006801:Humans; D009859:Oncology Nursing; D013117:Spinal Cord Compression / Q000451:nursing; D013120:Spinal Cord Neoplasms / Q000451:nursing* / Q000556:secondary* / Q000628:therapy