Abstract

Neuro-Oncology During the COVID-19 Outbreak: A Hopeful Perspective at the End of the Italian Crisis.

Highlights

  • Cancer patients are more susceptible to infections because of their immunosuppressive status and, at least in theory, at major risk of developing severe complications from the coronavirus disease (COVID-19), including adult respiratory distress syndrome (ARDS), intensive care unit admission, and even death

  • Patients diagnosed with primary brain tumors (PBTs) are considered one of the most fragile and vulnerable category due to several factors: the older age along with the multiple age-related frailties and comorbidities, the frequent presence of neurological deficits causing loss of autonomy in the activities of daily living and increased risk of thromboembolic events, the often severe lymphopenia both disease and treatment-related, and the chronic use of steroids to control brain edema leading to further immunosuppression and to an increased susceptibility to infection [8]

  • Another pathogenic mechanism under current investigation potentially leading to neurological damages in patients with COVID-19 is represented by endothelial ruptures in cerebral capillaries followed by bleeding within the brain parenchyma [12]

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Summary

Introduction

Cancer patients are more susceptible to infections because of their immunosuppressive status and, at least in theory, at major risk of developing severe complications from the coronavirus disease (COVID-19), including adult respiratory distress syndrome (ARDS), intensive care unit admission, and even death. More recent works indicated with strong evidence that cancer patients are at an increased risk of mortality and severe illness due to SARS-CoV-2 infection, regardless of whether they have active cancer, are on anticancer treatment, or both [5, 6].

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