L-asparaginase-induced reversible posterior leukoencephalopathy syndrome in a child with acute lymphoblastic leukemia

被引:26
作者
Rathi, B
Azad, RK
Vasudha, N
Hissaria, P
Sawlani, V
Gupta, RK
机构
[1] Sanjay Gandhi Postgrad Inst Med Sci, Dept Radiol, Lucknow 226014, Uttar Pradesh, India
[2] Sanjay Gandhi Postgrad Inst Med Sci, Dept Immunol, Lucknow 226014, Uttar Pradesh, India
关键词
L-asparaginase; acute lymphoblastic leukemia; reversible posterior leukoencephalopathy; MRI;
D O I
10.1159/000065395
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Reversible posterior leukoencephalopathy syndrome (RPLS) is being increasingly described with various etiologies even in the absence of hypertension. We present an 11-year-old patient with acute lymphoblastic leukemia who presented with seizures while on treatment with L-asparaginase. MRI showed bilaterally symmetrical nonenhancing occipital lesions characteristic of RPLS. L-Asparaginase-induced RPLS is a rare cause of neurological symptoms in patients on induction chemotherapy Copyright (C) 2002 S. Karger AG, Basel.
引用
收藏
页码:203 / 205
页数:3
相关论文
共 15 条
[1]   Posterior leukoencephalopathy without severe hypertension - Utility of diffusion-weighted MRI [J].
Ay, H ;
Buonanno, FS ;
Schaefer, PW ;
Le, DA ;
Wang, B ;
Gonzalez, RG ;
Koroshetz, WJ .
NEUROLOGY, 1998, 51 (05) :1369-1376
[2]   Occipital lobe seizures as the major clinical manifestation of reversible posterior leukoencephalopathy syndrome: Magnetic resonance imaging findings [J].
Bakshi, R ;
Bates, VE ;
Mechtler, LL ;
Kinkel, PR ;
Kinkel, WR .
EPILEPSIA, 1998, 39 (03) :295-299
[3]   Reversible MRI lesions due to pegaspargase treatment of non-Hodgkin's lymphoma [J].
Bushara, KO ;
Rust, RS .
PEDIATRIC NEUROLOGY, 1997, 17 (02) :185-187
[4]   Erythropoietin-associated hypertensive posterior leukoencephalopathy [J].
Delanty, N ;
Vaughan, C ;
Frucht, S ;
Stubgen, P .
NEUROLOGY, 1997, 49 (03) :686-689
[5]  
Dillon WP, 1998, AM J NEURORADIOL, V19, P591
[6]   Reversible posterior leukoencephalopathy syndrome following CHOP chemotherapy for diffuse large B-cell lymphoma [J].
Edwards, MJJ ;
Walker, R ;
Vinnicombe, S ;
Barlow, C ;
MacCallum, P ;
Foran, JM .
ANNALS OF ONCOLOGY, 2001, 12 (09) :1327-1329
[7]   CEREBROVASCULAR COMPLICATIONS OF L-ASPARAGINASE THERAPY [J].
FEINBERG, WM ;
SWENSON, MR .
NEUROLOGY, 1988, 38 (01) :127-133
[8]  
FOREMAN NK, 1992, BRIT J RADIOL, V20, P78
[9]   L-ASPARAGINASE - THERAPEUTIC AND TOXIC EFFECTS IN PATIENTS WITH NEOPLASTIC DISEASE [J].
HASKELL, CM ;
CANELLOS, GP ;
LEVENTHAL, BG ;
CARBONE, PP ;
BLOCK, JB ;
SERPICK, AA ;
SELAWRY, OS .
NEW ENGLAND JOURNAL OF MEDICINE, 1969, 281 (19) :1028-+
[10]   A reversible posterior leukoencephalopathy syndrome [J].
Hinchey, J ;
Chaves, C ;
Appignani, B ;
Breen, J ;
Pao, L ;
Wang, A ;
Pessin, MS ;
Lamy, C ;
Mas, JL ;
Caplan, LR .
NEW ENGLAND JOURNAL OF MEDICINE, 1996, 334 (08) :494-500