Cerebellar herniation after intrathecal chemotherapy including cytosine arabinoside in a boy with T acute lymphoblastic leukemia
β Scribed by Legrand, F; Dorgeret, S; Saizou, C; Duval, M; Vilmer, E
- Book ID
- 110055129
- Publisher
- Nature Publishing Group
- Year
- 2002
- Tongue
- English
- Weight
- 108 KB
- Volume
- 16
- Category
- Article
- ISSN
- 0887-6924
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Background. Two adolescents with acute B-cell leukemia (Burkitt leukemia) had acute severe neurotoxicity after treatment with intrathecal (IT) cytosine arabinoside (AraC) at a dose of 50 mg/day for three consecutive days. A 16-year-old boy had a rapidly ascending myelopathy and encephalopathy 20 ho
We report a case of a fatal toxic encephalomyelopathy in a 12-year-old girl due to prophylactic intrathecal injection of methotrexate and cytosine arabinoside, with a characteristic progressive symptomatology leading to death after 28 days. The location and type of neuropathological changes support