Flushing out of cerebrospinal fluid as a therapy for acute cerebellar dysfunction caused by high dose of cytosine arabinoside: a case report

J Pediatr Hematol Oncol. 2006 Dec;28(12):837-9. doi: 10.1097/MPH.0b013e31802d3e2d.

Abstract

High dose of cytosine arabinoside is usually used in treatment of acute myelogenous leukemia. Here we report 1 case of a child who developed neurologic toxicity and rapidly improved after flushing out of cerebral spinal fluid, suggesting it could be treatment in the acute phase of toxicity. Efficacy of this treatment could be explained by reducing cytosine arabinoside metabolites in central nervous system.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Antimetabolites, Antineoplastic / administration & dosage
  • Antimetabolites, Antineoplastic / adverse effects*
  • Cerebellar Diseases / chemically induced*
  • Cerebellar Diseases / therapy*
  • Cerebrospinal Fluid*
  • Cytarabine / administration & dosage
  • Cytarabine / adverse effects*
  • Humans
  • Leukemia, Myeloid, Acute / complications
  • Leukemia, Myeloid, Acute / drug therapy*
  • Male

Substances

  • Antimetabolites, Antineoplastic
  • Cytarabine