Progressive ascending paralysis following administration of intrathecal and intravenous cytosine arabinoside. A pediatric oncology group study
- 15 March 1986
- Vol. 57 (6), 1083-1088
- https://doi.org/10.1002/1097-0142(19860315)57:6<1083::aid-cncr2820570602>3.0.co;2-b
Abstract
Two childhood acute myelogenous leukemia (AML) patients receiving intrathecal (IT) and intravenous (IV) cytosine arabinoside (Ara-C) developed progressive ascending paralysis, resulting in death in one patient. Necropsy findings on this patient included spinal cord demyelination characteristic of Ara-C neurotoxicity. An unusual aspect of these two cases was the delay between cessation of IT therapy and the onset of neurologic symptoms. These patients received relatively low total doses of IT Ara-C and standard doses of IV Ara-C. Previous studies have shown that Ara-C equilibrates readily between serum and cerebrospinal fluid; this implies that total IV and IT doses of Ara-C may be additive in relation to development of neurotoxicity. For these reasons, use of IV and IT Ara-C in childhood AML must be approached with greater caution, especially if neurologic abnormalities develop during or after therapy.This publication has 19 references indexed in Scilit:
- Paraplegia following intrathecal chemotherapy neuropathologic findings and elevation of myelin basic proteinCancer, 1982
- Paraplegia following intrathecal cytosine arabinosideCancer, 1979
- Methotrexate encephalopathyHuman Pathology, 1978
- Paraparesis following intrathecal cytosine arabinoside.A case report with neuropathologic findingsCancer, 1977
- Brain damage after intrathecal methotrexate.Journal of Neurology, Neurosurgery & Psychiatry, 1975
- Disseminated necrotizing leukoencephalopathy: A complication of treated central nervous system leukemia and lymphomaCancer, 1975
- The central nervous system in childhood leukemia.II. Subacute leukoencephalopathyCancer, 1975
- Poliomyelitis in HypogammaglobulinemicsThe Journal of Infectious Diseases, 1973
- Paraplegia following intrathecal chemotherapyCancer, 1972
- Vaccine-related paralytic poliomyelitis in an immunodeficient childThe Journal of Pediatrics, 1971