CEREBELLAR TOXICITY FOLLOWING HIGH-DOSE CYTOSINE-ARABINOSIDE

被引:40
作者
DWORKIN, LA
GOLDMAN, RD
ZIVIN, LS
FUCHS, PC
机构
[1] ST VINCENT HOSP & MED CTR, DEPT PATHOL, 9205 SW BARNES RD, PORTLAND, OR 97209 USA
[2] ST VINCENT HOSP & MED CTR, DEPT MED, PORTLAND, OR 97209 USA
[3] ST VINCENT HOSP & MED CTR, DEPT NEUROL, PORTLAND, OR 97209 USA
关键词
D O I
10.1200/JCO.1985.3.5.613
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
A patient with acute cerebellar toxicity following systemic high-dose cytosine arabinoside (ara-C) 3 g/m2/12 h for secondary acute nonlymphocytic leukemia is reported. Initial symptoms of ataxia and dysarthria emerged at 30 g/m2 cumulative dose and persisted without improvement over a 10 wk period. Recurrence and worsening of cerebellar symptoms followed further consolidation treatment with high-dose ara-C. Subsequent autopsy showed extensive Purkinje''s cell damage in the lateral cerebellar hemispheres. Persistent severe toxicity can occur at total doses less than those generally recognized.
引用
收藏
页码:613 / 616
页数:4
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