Gorson K C, Miller K B, Preston D C
Department of Neurology, Tufts-New England Medical Center, Boston, MA 02111.
Leukemia. 1993 Mar;7(3):466-8.
We report a 67-year-old man with acute lymphocytic leukemia (ALL) who developed a rapidly progressive areflexic quadriparesis following chemotherapy. Electrophysiologic studies demonstrated an acute demyelinating polyneuropathy. Although peripheral nervous system dysfunction in ALL is often attributed to leukemic infiltration or chemotherapy, a diligent search with electrophysiologic evaluation should be considered and may suggest alternative diagnoses.
我们报告了一名67岁的急性淋巴细胞白血病（ALL）男性患者，其在化疗后出现了快速进展的无反射性四肢瘫。电生理研究显示为急性脱髓鞘性多发性神经病。尽管ALL患者的外周神经系统功能障碍通常归因于白血病浸润或化疗，但应考虑进行电生理评估的细致检查，这可能提示其他诊断。
