Surgical treatment of brain tumors without informed consent - medical, organizational and legal aspect

Zygmunt Siedlecki, Agnieszka Gutkowska, Maciej Śniegocki



Brain tumors are often manifested by mental disorders. Changes in personality, behavior and logical functions are often the dominant pathological symptoms in patients with brain tumors. There are also cases where brain tumors occur in patients with psychotic disorders or mental retardation and in these particular cases, they aggravate the already advanced mental disability. As a result, patients with brain tumors are often intellectually disabled and it is not possible to perform informed consent to treatment. In clinical practice, those patients who require neurosurgical treatment must give their informed consent, and when it is not possible, the judicial consent must be adjudicated. In urgent cases, medical decision on surgery is necessary in algorithm of life saving surgery, due to size of tumor and brain edema. We present the current state of knowledge and the facts about neurosurgical prcedures performed in patients with brain tumors without obtaining informed consent. We analyze the medical, legal and organizational status, pay attention to the nuances and the need for outstanding clinical experience in such a delicate matter. Clinical experience and legal awareness is essential for a qualifying neurosurgeon.


brain tumors; mental disorders; judicial consent

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Alentorn, A., Hoang-Xuan, K., & Mikkelsen, T. (2016). Presenting signs and symptoms in brain tumors. In Handbook of Clinical Neurology (Vol. 134, pp. 19-26). Elsevier.

Huang, J., Zeng, C., Xiao, J., Zhao, D., Tang, H., Wu, H., & Chen, J. (2017). Association between depression and brain tumor: a systematic review and meta-analysis. Oncotarget, 8(55), 94932.

Jędrzejczyk, A. (2009). Guzy mózgu–problem wzmożonego ciśnienia śródczaszkowego. Opieka paliatywna nad dziećmi, 17, 145-148.

Wojturska, W., & Pawlak, J. (2018). Zgoda pacjenta warunkiem sine qua non interwencji medycznej. Studenckie Zeszyty Naukowe, 21(37).

Baron, K. (2010). Zgoda pacjenta. Prokuratura i Prawo, 9, 42-57.

Przybyłek, E., Rej-Kietla, A., Kryska, S., & Zawadzki, D. (2018). WOLA PACJENTA WOBEC INTERWENCJI MEDYCZNEJ–OŚWIADCZENIE PRO FUTURO. Roczniki Administracji i Prawa, 1(XVIII), 291-299.

Gniadek, M. (2017). Znaczenie zgody na leczenie w odniesieniu do prawa konstytucyjnego i karnego. Internetowy Przegląd Prawniczy TBSP UJ, (2 (32)).

Petrys, A. (2017). Bioetyczne oświadczenie pro futuro. Rynek-Społeczeństwo-Kultura, (spec.(26) Prawo-koncepcje, regulacje, współczesne problemy), 165-171.

Lis, W. (2018). Zgoda pacjenta na czynność medyczną w polskim porządku prawnym. Zeszyty Naukowe KUL, 61(3), 39-58.

K. Gibiński, J. Rybicka, Dylematy świadomej zgody, Polski Tygodnik Lekarski 1994, Nr 25-26, s. 600.

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Journal of Education, Health and Sport formerly Journal of Health Sciences

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1223 Journal of Education, Health and Sport eISSN 2391-8306 7

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