LONG-TERM CEREBRAL EFFECTS OF CNS CHEMOTHERAPY IN CHILDREN WITH ACUTE LYMPHOBLASTIC-LEUKEMIA

被引:21
作者
BAKKE, SJ
FOSSEN, A
STORMMATHIESEN, I
LIE, SO
机构
[1] UNIV OSLO,NATL HOSP,DEPT DIAGNOST RADIOL,NEURORADIOL SECT,N-0027 OSLO 1,NORWAY
[2] UNIV OSLO,NATL HOSP,DIV CHILD & ADOLESCENT PSYCHIAT,N-0027 OSLO 1,NORWAY
[3] UNIV OSLO,NATL HOSP,DEPT PEDIAT,N-0027 OSLO 1,NORWAY
关键词
LEUKEMIA; CHEMOTHERAPY; MAGNETIC RESONANCE; NEUROPSYCHOLOGIC FUNCTIONS;
D O I
10.3109/08880019309029495
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Fifteen 7-16-year-old patients, treated in 1981-1984 for acute lymphoblastic leukemia (ALL) in first complete remission, were studied. As a central nervous system prophylaxis, all the children were treated with repeated methotrexate (MTX) instellations, but none were irradiated. The study protocol included magnetic resonance (MR) and a battery of neuropsychological tests. Small, punctate white-matter lesions were found by MR in eight children, probably minor vascular lesions. All the children were within normal intelligence range with a mean total WISC-R IQ of 109. Minor neuropsychologic problems were found in two patients, while one child showed a more extensive specific learning disorder in school.
引用
收藏
页码:267 / 270
页数:4
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