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Published online: 2025-04-08

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Neurological hospitalizations of patients with a history of past or present malignancy — an observational study from a tertiary neurology center

Katarzyna Sawczyńska12, Marzena Dziedzic2, Tomasz Homa2, Magdalena Spaczyńska-Boczar2, Adrian Baran3, Joanna Jóźwik3, Kaja Zdrojewska3, Jeremiasz Jagiełła12, Agnieszka Słowik12

Abstract

Introduction. Cancer and its treatment are causing a wide range of neurological complications. Current epidemiological studies on neurological hospitalizations in patients with history of malignancy and active cancer (AC) are lacking. The aim of the study was to assess the numbers and clinical profiles of patients with history of malignancy and AC among patients hospitalized in neurological departments of the University Hospital in Kraków, Poland. 

Material and methods. Medical files of all patients who were treated in neurological departments of the University Hospital in Kraków, Poland, from January 2022 to March 2024 were reviewed. Included were patients with a confirmed history of past or present malignancy. The profile of malignancies and reasons for neurological hospitalizations were analyzed. 

Results. Among all patients hospitalized in the neurological departments 10.5% had a history of past or present malignancy and 4.9% had AC. The profile of malignancies and reasons for neurological hospitalizations differed among patients with AC and non-active malignancies. In 30.7% of AC the diagnosis of cancer was made (or the diagnostic process started) during hospitalization in the neurological department. 

Conclusions. Neurological complications of cancer and its treatment are very common in everyday practice of neurohospitalists and require multidisciplinary care, as well as good cooperation between oncologists and neurologists. 

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