Literature DB >> 2023567

Acute fatal myeloencephalopathy after combined intrathecal chemotherapy in a child with acute lymphoblastic leukemia.

N X von der Weid1, H de Crousaz, D Beck, T Deonna, J Miklossy, R C Janzer.   

Abstract

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 the hypothesis of a direct toxic effect of methotrexate and/or cytosine arabinoside on structures directly exposed to the cerebrospinal fluid.

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Year:  1991        PMID: 2023567     DOI: 10.1002/mpo.2950190309

Source DB:  PubMed          Journal:  Med Pediatr Oncol        ISSN: 0098-1532


  2 in total

1.  Irreversible paraplegia following one time prophylactic intrathecal chemotherapy in an adult patient with acute lymphoblastic leukemia.

Authors:  Hea Yong Lee; Sung-il Im; Myoung-Hee Kang; Kwang Min Kim; Seok Hyun Kim; Hun-Gu Kim; Jung Hun Kang; Gyeong-Won Lee
Journal:  Yonsei Med J       Date:  2008-02-29       Impact factor: 2.759

Review 2.  Intrathecal Methotrexate-Induced Necrotizing Myelopathy: A Case Report and Review of Histologic Features.

Authors:  Hamza Tariq; Andrea Gilbert; Francis E Sharkey
Journal:  Clin Med Insights Pathol       Date:  2018-11-04
  2 in total

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