Intrathecal methotrexate-induced acute cerebellar syndrome

Ann Hematol. 2003 Apr;82(4):241-3. doi: 10.1007/s00277-003-0618-0. Epub 2003 Mar 12.

Abstract

Intrathecal application of chemotherapeutics has been the mainstay of central nervous system prophylaxis in acute lymphoblastic leukemia treatment. We describe a patient who developed acute cerebellar syndrome after prophylactic intrathecal methotrexate administration and recovered spontaneously. To our knowledge, this is the first case of methotrexate-related acute cerebellar syndrome.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Adult
  • Antimetabolites, Antineoplastic / administration & dosage
  • Antimetabolites, Antineoplastic / adverse effects*
  • Cerebellar Diseases / chemically induced*
  • Critical Care
  • Female
  • Humans
  • Injections, Spinal
  • Methotrexate / administration & dosage
  • Methotrexate / adverse effects*
  • Precursor Cell Lymphoblastic Leukemia-Lymphoma / drug therapy*
  • Treatment Outcome

Substances

  • Antimetabolites, Antineoplastic
  • Methotrexate