Diffuse cerebral vasospasm with infarct after intrathecal cytarabine in childhood leukemia

作者:Yoon Jong Hyung; Yoon Ju Young; Park Hyeon Jin*; Son Meong Hi; Kim Su Hyun; Kim Woojun; Kim Ho Jin; Lee Sang Hyun; Park Byung Kiu
来源:Pediatrics International, 2014, 56(6): 921-924.
DOI:10.1111/ped.12394

摘要

Although the varied neurotoxicity of intrathecal (IT) chemotherapy for treatment of childhood acute leukemia is well known, most are related to transient post-puncture headache, drug-induced arachnoiditis, or leukoencephalopathy after methotrexate or cytarabine. Cerebral vasospasm leading to acute infarct after IT chemotherapy is very uncommon in children. Reported herein is a rare case of diffuse cerebral vasospasm with subsequent cerebral infarct after IT cytarabine in a 7-year-old boy with acute lymphoblastic leukemia, who successfully recovered with supportive management, and a review of the literature.

  • 出版日期2014-12