Castel V, Ferris J, Prats C
An Esp Pediatr. 1980 Jan;13(1):23-32.
Results of CNS prophylaxis of 43 LLA children are studied. Prognostic characteristics of the group, follow-up time, and controls made are reported. Prophylaxis was made with intrathecal methotrexate associated to craneal (24 patients) or craneospinal irradiation. There was a 13% of meningosis between three and 27 months of the first complete remission. There were no differences of effectiveness between the two methods of treatment. The side effects were mild. Fifty five percent of patients showed fever, and vomits after intrathecal methotrexate injections, and 16% somnolence postradiotherapy syndrome. There were two more severe complications, one sepsis and one necrotizing leukoencephalopathy.
对43例低级别星形细胞瘤(LLA)患儿的中枢神经系统预防结果进行了研究。报告了该组的预后特征、随访时间及所做的对照。预防措施采用鞘内注射甲氨蝶呤联合颅脑照射(24例患者)或全脑全脊髓照射。在首次完全缓解后的3至27个月内,脑膜白血病的发生率为13%。两种治疗方法的疗效无差异。副作用较轻。55%的患者在鞘内注射甲氨蝶呤后出现发热和呕吐,16%的患者出现放疗后嗜睡综合征。还有两例严重并发症,一例败血症和一例坏死性白质脑病。