The neurological involvement in paraneoplastic syndromes is a result of the effect on the nervous system of an occult or diagnosed and treated neoplastic disease. Nearly 20% of patients, suffering from malignant neoplasm, develop neurological complications other than pain, mainly due to tumor invasion, drug or radiotherapeutical neurotoxicity, metabolic, vascular or infectious factors. Regardless of the fact that the primary approach in diagnosing neurological paraneoplastic syndromes is clinical, routine neurological competenceis not sufficient. Neurological paraneoplastic syndromes are subject to particular educational and clinical interest by the neurooncological community, represented by a number of national and international institutions. These problems took place as well in the activities plan of the Neurooncological Council of EFNS and EANO. In response to the challenge, the special committee on education at the EFNS carries out large-scale activities. The obligatory, considering its disciplinary character, and beneficial collaboration between neurologists, oncologists, radiologists, and other specialists in volved, does not compensate the necessity for qualified neurooncological think in gand behavior.Analyzing the different organization of neurooncological assistance in each EU country, the most correct conclusions for changes in the status of neurooncology in education and clinical practice are being sought.
Scripta Scientifica Medica 2007;39(2):155-156
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