Acute Onset Flaccid Quadriparesis in Pediatric Non-Hodgkin Lymphoma: Vincristine Induced or Guillain-Barre Syndrome?

作者：Bahl Ankur; Chakrabarty Biswaroop; Gulati Sheffali; Raju K N Vykunta; Raja Ali; Bakhshi Sameer^*

来源：Pediatric Blood and Cancer, 2010, 55(6): 1234-1235.

DOI：10.1002/pbc.22684

• flaccid quadriparesis
• Guillain-Barre syndrome
• non-Hodgkin lymphoma
• vincristine

Immunological involvement of peripheral nervous system in non-Hodgkin lymphoma (NHL) is very rare and it may be difficult to differentiate it from vincristine-induced neuropathy. We report clinical and electrophysiological findings of an 8-year-old male with NHL who developed acute onset fulminant motor sensory autonomic neuropathy during induction chemotherapy which included vincristine. Characteristic clinical picture and nerve conduction studies favored Guillain Barre syndrome. The patient improved rapidly with intravenous immunoglobulin and supportive care. It is possible that an immune mechanism damaged the peripheral nervous system in the patient without ruling out the adverse effects of vinca alkaloids. Pediatr Blood Cancer. 2010;55:1234-1235.

• 出版日期2010-12-1
• 单位河北医科大学