Stroke-like syndrome in acute pediatric lymphoblastic leukemia
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Keywords

Lymphoblastic Leukemia- Stroke- Like- Pediatrics×

How to Cite

Ferraro, C., Soria, M. E., Moran, L. E., Prada, S. ., Palomar, N. R., Fernández Escobar, N., Manente, R., Schwalb, G., Wittmund , L., Basack, N., Attie, M., Gutiérrez, M. E., & Drelichman, G. (2021). Stroke-like syndrome in acute pediatric lymphoblastic leukemia. Journal of Hematology, 25(3), 84–88. Retrieved from https://revistahematologia.com.ar/index.php/Revista/article/view/401

Abstract

Methotrexate (MTX), as an essential drug in Acute Lymphoblastic Leukemia´s treatment (ALL), can cause neurotoxicity, including a very rare presentation such as Stroke-like Syndrome. We describe 2 cases of pediatric patients who presented this pathology during the application of  Methotrexate phase  of the ALLIC GATLA 2010 protocol. They reversed quickly, ruling out leukemic involvement of the central nervous system (CNS), thrombosis or bleeding. The following is a review of the pathophysiology of methotrexate neurotoxicity, clinical features, MRI and literature´s review.

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References

Deepa Bhojwani, Noah D. Sabin et al. Methotrexate-Induced neurotoxicity and Leukoencephalopathy in Childhood Acute Lymphoblastic Leukemia. J Clin Oncol. 2014;32(9): 949-959.

Bond J, Hough R, Moppett J, Vora A, Mitchell C y Goulden N. ‘Stroke-like syndrome’ caused by intrathecal methotrexate in patients treated during the UKALL 2003 trial. Leukemia. 2013 Apr;27(4):954-6.

Ching-Hon Pui, Scott C Howard. Current management and challenges of malignant disease in the CNS in paediatric leukaemia. Lancet Oncol. 2008;9:257-68.

Goicoechea García C. Farmacología del metotrexato. Reumatol Clin Supl. 2016;11(1):3-7.

Shuper A, Stark B, Kornreich L, Cohen IJ, Aviner S, Steinmetz A et al. Methotrexate treatment protocols and the central nervous system: significant cure with significant neurotoxicity. J Child Neurol. 2000;15:573-80.

Rogers P, Pan WJ, Drachtman RA, Haines C. A Stroke Mimic: Methotrexate-induced Neurotoxicity in the Emergency Department. J Emerg Med. 2017 Apr;52(4):559-561.

Kjeld Schmiegelow, Andishe Attarbaschi et al. Consensus definitions of 14 severe acute toxic effects for childhood lymphoblastic leukaemia treatment: a Delphi consensus. Lancet Oncol. 2016; 17: e231-39.

Kentaro Watanabe, Yuki Arakawa et al. Characteristics of methotrexate-induced stroke-like neurotoxicity. Int J Hematol. 2018 Dec;108(6):630-636.

All material published in the journal HEMATOLOGÍA (electronic and print version) is transferred to the Argentinean Society of Hematology. In accordance with the copyright Act (Act 11 723), a copyright transfer form will be sent to the authors of approved works, which has to be signed by all the authors before its publication. Authors should keep a copy of the original since the journal is not responsible for damages or losses of the material that was submitted. Authors should send an electronic version to the email: revista@sah.org.ar

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