급성 백혈병 환자에서 Vincristine에 의해 유발된 다발성 신경병증A case of vincristine-induced polyneuropathy in an patient with acute leukemia
- Other Titles
- A case of vincristine-induced polyneuropathy in an patient with acute leukemia
- Authors
- 백수영; 박병배; 박동원; 김주형; 정경희; 김혜영; 박소연
- Issue Date
- May-2009
- Publisher
- 대한내과학회
- Keywords
- 빈크리스틴; 신경독성; 다발신경병증; Vincristine; Neurotoxicity; Polyneuropathy; Vincristine; Neurotoxicity; Polyneuropathy
- Citation
- 대한내과학회지, v.76, no.5, pp.611 - 616
- Indexed
- KCI
- Journal Title
- 대한내과학회지
- Volume
- 76
- Number
- 5
- Start Page
- 611
- End Page
- 616
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/176779
- ISSN
- 1738-9364
- Abstract
- When neurological symptoms occur during the treatment of acute lymphoblastic leukemia, the differential diagnosis includes a leukemic infiltration of the nervous system, drug toxicity, infection, and other neurological disorders. We describe a 16-year-old girl with acute lymphoblastic leukemia that appeared to be complicated by vincristine-induced peripheral and cranial polyneuropathy after induction chemotherapy. She presented with right ptosis six weeks after the first dose of vincristine, and her neurological symptoms progressed to peripheral polyneuropathy. She recovered from these neurological symptoms over the next three months. Leukemic involvement of the nervous system and other neurological disorders could be excluded as potential causes of the neurological symptoms. This report shows that vincristine-induced neurotoxicity should be considered as a cause of cranial neuropathy that develops during the treatment of acute lymphoblastic leukemia.
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