Preview

Russian Journal of Pediatric Hematology and Oncology

Advanced search

CRANIAL NEUROPATHY, INDUCED BY VINCRISTINE ADMINISTRATION AT A CHILD SUFFERING WITH EWING,S SARCOMA

https://doi.org/10.17650/2311-1267-2015-2-2-85-88

Abstract

The pharmaceutical neuropathy is the most often complication from the part of the nervous system at children, receiving the therapy with chemical therapeutic agents. Among most unfavorable substance vincristine (VNC) is highlighted, which neurotoxicity often causes the dose reduction or its full withdrawal from the used treatment protocol. The clinical pattern of the VNC induced neuropathy in most cases is represented by the lesion of nerve fibers of upper and lower extremities with the development of symptoms of the peripheral polyneuropathy. In more rare cases VNC causes the lesion of axons of cranial and brain nerves. The given clinical case describes the monitoring of the cranial neuropathy, the lesion of the oculomotor nerve, presented by bilateral ptosis at a child with Ewing,s sarcoma, treated by СWS-2009 protocol.

About the Author

O. B. Malevich
Federal Research Center of Pediatric Hematology, Oncology and Immunology named after Dmitriy Rogachev, Ministry of Health of Russia; 1 Samory Mashela St., Moscow, 117198, Russia
Russian Federation


References

1. Gursel O., Sari E., Atay A. A. et al. Vincristine-induced unilateral ptosis

2. in a child. Pediatr Neurol 2009;41:461–3.

3. Talebian A., Mohammadzadeh M., Mirzadeh A. S. Vincristine-induced cranial neuropathy. Child Neurol 2014;8(1):66–8.

4. Tarlaci S. Vincristine-induced fatal neuropathy in non-Hodgkin,s lymphoma. Neurotoxicology 2008;29(4):748–9.

5. Toker E., Yenice O., Ogut M. S. Isolated abducens nerve palsy induced by vincristine therapy. J AAPOS 2004;8:69–71.

6. Dixit G., Dhingra A., Kaushal D. Vincristine induced cranial neuropathy. J Assoc Physicians India 2012;60:56–8.

7. Shurin S. B., Rekate H. L., Annable W. Optic atrophy induced by vincristine. Pediatrics 1982;70(2):288–91.

8. Jaggi A. S., Singh N. Mechanism in cancer-chemotherapeutic drug-induced peripheral neuropathy. Toxicology 2012; 291(1–3):1–9.

9. Gomber S., Dewan P., Chhonker D. Vincristine induced neurotoxicity in cancer patients. Indian J Pediatr 2010;77:97–100.

10. Lash S. C., Williams C. P., Marsh C. S. et al. Acute sixth-nerve palsy after vincristine therapy. J APOS 2004;8:67–8.

11. Naithani R., Dolai T. K., Kumar R. Bilateral vocal cord paralysis following treatment with vincristine. Indian Pediatr 2009;46(1):68–9.

12. Ngamphaiboon N., Sweeney R., Wetzler M., Wang E. S. Pyridoxine treatment of vincristine-induced cranial polyneuropathy in an adult patient with acute lymphocytic leukemia: Case report and review of the literature. Leuk Res 2010;34(8):e194–6.

13. Мументалер М., Бассетти К., Дэтвайлер К. Дифференциальный диагноз в неврологии. М.: МЕДпресс- информ, 2010. С. 25. [Mumenthaler M., Bassetti C., Daetwyler C. Differential diagnosis in neurology. M.: MEDpress-inform, 2010. P. 25. (In Russ.)].

14. Drug formulary. Toronto: Cancer Care Ontario; 2009. http://www. cancercare.on.ca/.

15. Akbayram S., Akgun C., Dogan M. et al. Use of pyridoxine and pyridostigmine

16. in children with in vincristine induced neuropathy. Indian J Pediatr 2010;77(6):681–3.

17. Muller L., Kramm C. M., Tenenbaum T. et al. Treatment of vincristine-induced bilateral ptosis with pyridoxine and pyridostigmine. Pediatr Blood Cancer 2004;42(3):287–8.

18. Bhat K. G., Singhal V., Borker A. S. Successful treatment of vincristine-induced ptosis and polyneuropathy with pyridoxine and pyridostigmine in a child with acute lymphoblastic leukemia. PMC 2012;33(3):185–7.


Review

For citations:


Malevich O.B. CRANIAL NEUROPATHY, INDUCED BY VINCRISTINE ADMINISTRATION AT A CHILD SUFFERING WITH EWING,S SARCOMA. Russian Journal of Pediatric Hematology and Oncology. 2015;2(2):85-88. (In Russ.) https://doi.org/10.17650/2311-1267-2015-2-2-85-88

Views: 1736


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2311-1267 (Print)
ISSN 2413-5496 (Online)
X