Head and Neck Dystonia Following Chimeric-Antigen Receptor T-Cell Immunotherapy: A Case Report

Laryngoscope. 2020 Dec;130(12):E863-E864. doi: 10.1002/lary.28585. Epub 2020 Feb 28.

Abstract

Chimeric antigen receptor T-cell therapy (CAR-T) is a novel immunotherapy used for the treatment of refractory B-cell leukemias and lymphoma. As clinical trials continue to expand, multiple treatment toxicities have been documented. Treatment-associated toxicities are typically systemic, however, focal manifestations have been described. We present a unique case of a 55-year-old female who developed oropharyngeal and laryngeal dystonia following CAR-T therapy. This case points to a possible association between CAR-T therapy and focal head and neck dystonia. Laryngoscope, 2020.

Keywords: Chimeric antigen receptor T-cell therapy, treatment toxicities, adductor laryngeal breathing dystonia, oropharyngeal dystonia.

Publication types

  • Case Reports

MeSH terms

  • Dystonia / etiology*
  • Female
  • Humans
  • Immunotherapy, Adoptive / adverse effects*
  • Laryngeal Diseases / etiology*
  • Lymphoma, Follicular / therapy
  • Middle Aged
  • Pharyngeal Diseases / etiology*
  • Receptors, Chimeric Antigen* / therapeutic use

Substances

  • Receptors, Chimeric Antigen