Authors: | Demopoulos, A.; Deangelis, L. M. |
Article Title: | Neurologic complications of leukemia |
Abstract: | Purpose of review: As treatment of the leukemias improves, patients are surviving longer. Recognizing and rapidly treating metastatic complications or avoiding neurotoxic therapies improves outcome, reduces morbidity and mortality, and limits long-term sequelae. Recent findings: Neurologic dysfunction may result from leukemic infiltration of the nervous system or as a consequence of chemotherapy or prophylactic craniospinal irradiation. The present review summarizes common problems in the neurologic complications of leukemia and discusses recent advancements in their diagnosis and treatment. Summary: Topics covered in detail include central nervous system prophylaxis, leptomeningeal metastasis, and common hematologic complications affecting the brain. The findings aid in the clinical management of patients with leukemia. © 2002 Lippincott Williams & Wilkins. |
Keywords: | cancer chemotherapy; treatment outcome; leukemia; antibiotic agent; acute granulocytic leukemia; hydroxyurea; review; interferon; cancer radiotherapy; cytarabine; methotrexate; neurotoxicity; nuclear magnetic resonance imaging; magnetic resonance imaging; computer assisted tomography; tomography, x-ray computed; vincristine; hyperviscosity syndrome; chronic myeloid leukemia; cancer mortality; meningeal neoplasms; promyelocytic leukemia; asparaginase; cognitive defect; seizure; acute lymphocytic leukemia; tacrolimus; bone marrow transplantation; chronic lymphatic leukemia; neurological complication; granulocyte colony stimulating factor; retinoic acid; brain hemorrhage; endocrine disease; leukoencephalopathy; hematologic disease; growth retardation; fibrinogen; meningeal metastasis; procoagulant; iatrogenic disease; thrombomodulin; leptomeningeal metastasis; 5,10 methylenetetrahydrofolate reductase (fadh2); vasculitis; venous thrombosis; blood viscosity; antithrombin; protein c; disseminated intravascular coagulation; brain infection; leukemic infiltration; protein s; paraneoplastic syndromes, nervous system; cerebral sinus thrombosis; disseminated intravascular clotting; leukostasis; humans; human; neurologic complications of cancer; lipoprotein a |
Journal Title: | Current Opinion in Neurology |
Volume: | 15 |
Issue: | 6 |
ISSN: | 1350-7540 |
Publisher: | Lippincott Williams & Wilkins |
Date Published: | 2002-12-01 |
Start Page: | 691 |
End Page: | 699 |
Language: | English |
DOI: | 10.1097/00019052-200212000-00006 |
PUBMED: | 12447107 |
PROVIDER: | scopus |
DOI/URL: | |
Notes: | Export Date: 14 November 2014 -- Source: Scopus |