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与检查点抑制剂相关的神经毒性:两例病例报告及文献综述

Neurotoxicities associated with checkpoint inhibitors: Two case reports and a review of the literature.

作者信息

Cordes Lisa M, Davarpanah Nicole N, Reoma Lauren B, Gasmi Billel, Quezado Martha, Khan Omar I, Nath Avindra, Apolo Andrea B

机构信息

Genitourinary Malignancies Branch National Cancer Institute National Institutes of Health Bethesda Maryland.

Office of Clinical Research Office of the Director National Institutes of Health Bethesda Maryland.

出版信息

Clin Case Rep. 2019 Nov 26;8(1):24-32. doi: 10.1002/ccr3.2534. eCollection 2020 Jan.

DOI:10.1002/ccr3.2534
PMID:31998480
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6982490/
Abstract

We report a case of nivolumab-induced delayed-onset aseptic meningitis and a case of limbic encephalitis and peripheral nerve palsy with toxicity relapse 6 months after initial presentation. The atypical presentations contribute to our knowledge of these rare events and reinforce the necessity for vigilant monitoring and a multidisciplinary treatment approach.

摘要

我们报告了一例由纳武单抗引起的迟发性无菌性脑膜炎病例,以及一例在初次出现症状6个月后出现毒性复发的边缘叶脑炎和周围神经麻痹病例。这些非典型表现丰富了我们对这些罕见事件的认识,并强化了进行密切监测和采取多学科治疗方法的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e394/6982490/c20c90bc1ea7/CCR3-8-24-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e394/6982490/655ff652ccfc/CCR3-8-24-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e394/6982490/c20c90bc1ea7/CCR3-8-24-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e394/6982490/655ff652ccfc/CCR3-8-24-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e394/6982490/c20c90bc1ea7/CCR3-8-24-g002.jpg

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本文引用的文献

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Management of Immune-Related Adverse Events in Patients Treated With Immune Checkpoint Inhibitor Therapy: American Society of Clinical Oncology Clinical Practice Guideline.免疫检查点抑制剂治疗患者免疫相关不良反应的管理:美国临床肿瘤学会临床实践指南。
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Neurologic complications of immune checkpoint inhibitors.免疫检查点抑制剂的神经并发症。
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Avelumab in metastatic urothelial carcinoma after platinum failure (JAVELIN Solid Tumor): pooled results from two expansion cohorts of an open-label, phase 1 trial.
帕博利珠单抗诱发非小细胞肺癌患者无菌性脑膜炎:一例病例报告及作为免疫相关不良事件的无菌性脑膜炎文献综述
Mol Clin Oncol. 2022 Jun 1;17(1):120. doi: 10.3892/mco.2022.2553. eCollection 2022 Jul.
4
Society for Immunotherapy of Cancer (SITC) clinical practice guideline on immune checkpoint inhibitor-related adverse events.癌症免疫治疗学会(SITC)免疫检查点抑制剂相关不良反应临床实践指南。
J Immunother Cancer. 2021 Jun;9(6). doi: 10.1136/jitc-2021-002435.
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A Review of Cancer Immunotherapy Toxicity: Immune Checkpoint Inhibitors.癌症免疫疗法毒性综述:免疫检查点抑制剂。
J Med Toxicol. 2021 Oct;17(4):411-424. doi: 10.1007/s13181-021-00833-8. Epub 2021 Apr 7.
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Immune Checkpoint Inhibitors and Neurotoxicity.免疫检查点抑制剂和神经毒性。
Curr Neuropharmacol. 2021;19(8):1246-1263. doi: 10.2174/1570159X19666201230151224.
阿维鲁单抗治疗铂类治疗失败后的转移性尿路上皮癌(JAVELIN Solid Tumor):一项开放标签、1 期试验两个扩展队列的汇总结果。
Lancet Oncol. 2018 Jan;19(1):51-64. doi: 10.1016/S1470-2045(17)30900-2. Epub 2017 Dec 5.
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