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左旋天冬酰胺酶诱发急性淋巴细胞白血病患儿可逆性后部白质脑病综合征

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

作者信息

Rathi Bharti, Azad Rajeek K, Vasudha N, Hissaria Praveen, Sawlani Vijay, Gupta Rakesh K

机构信息

Department of Radiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.

出版信息

Pediatr Neurosurg. 2002 Oct;37(4):203-5. doi: 10.1159/000065395.

DOI:10.1159/000065395
PMID:12372914
Abstract

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.

摘要

可逆性后部白质脑病综合征(RPLS)的病因日益多样,甚至在无高血压的情况下也有相关报道。我们报告一名11岁急性淋巴细胞白血病患者,在接受L-天冬酰胺酶治疗时出现癫痫发作。磁共振成像(MRI)显示双侧对称的枕叶病变,具有RPLS的特征。L-天冬酰胺酶诱导的RPLS是诱导化疗患者出现神经症状的罕见原因。

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