Document Detail


Sudden neurologic death after intrathecal methotrexate.
MedLine Citation:
PMID:  2304423     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Methotrexate leukoencephalopathy is a chronic syndrome of ataxia and confusion which may progress to seizures, coma, and death. We report a fatal case of this syndrome in a patient who displayed no evidence of the typical prodrome of neurologic symptoms or signs. This patient suffered brain death after receiving 11 doses of intrathecal methotrexate for leukemic meningitis. Since leukoencephalopathy was not clinically suspected, this case underscores the need for a test that would reliably monitor central nervous system toxicity due to intrathecal therapy.
Authors:
T Shore; M J Barnett; G L Phillips
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Medical and pediatric oncology     Volume:  18     ISSN:  0098-1532     ISO Abbreviation:  Med. Pediatr. Oncol.     Publication Date:  1990  
Date Detail:
Created Date:  1990-03-23     Completed Date:  1990-03-23     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7506654     Medline TA:  Med Pediatr Oncol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  159-61     Citation Subset:  IM    
Affiliation:
Leukemia and Bone Marrow Transplant Program of British Columbia, Vancouver General Hospital, Canada.
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MeSH Terms
Descriptor/Qualifier:
Adult
Brain Death*
Brain Edema / chemically induced
Death, Sudden / etiology*
Humans
Injections, Spinal
Leukemia-Lymphoma, Adult T-Cell / drug therapy
Leukoencephalopathy, Progressive Multifocal / chemically induced
Male
Meningeal Neoplasms / drug therapy
Methotrexate / administration & dosage,  adverse effects*
Chemical
Reg. No./Substance:
59-05-2/Methotrexate

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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