» Articles » PMID: 6947890

Intracranial Bleeding During Therapy with L-asparaginase in Childhood Acute Lymphocytic Leukemia

Overview
Journal Eur J Pediatr
Specialty Pediatrics
Date 1981 Nov 1
PMID 6947890
Citations 3
Authors
Affiliations
Soon will be listed here.
Abstract

Two patients developed clinical features of intracranial bleeding--which were confirmed by computerized axial tomograms--during their induction therapy for acute lymphocytic leukemia. Coagulation studies showed clotting abnormalities including severe hypofibrinogenemia. These findings most probably were related to the effect of L-asparaginase which was part of the treatment protocol. Central nervous system leukemia, intrathecal chemotherapy, cranial irradiation, extreme leukocytosis, or thrombopenia at the time of diagnosis or day of stroke did not appear to be predisposing factors in these cases.

Citing Articles

Cancer and stroke: commonly encountered by clinicians, but little evidence to guide clinical approach.

Woock M, Martinez-Majander N, Seiffge D, Selvik H, Nordanstig A, Redfors P Ther Adv Neurol Disord. 2022; 15:17562864221106362.

PMID: 35785404 PMC: 9243376. DOI: 10.1177/17562864221106362.


Neurosurgical management of L-asparaginase induced haemorrhagic stroke.

Ogbodo E, Kaliaperumal C, OSullivan M BMJ Case Rep. 2012; 2012.

PMID: 22605598 PMC: 3316831. DOI: 10.1136/bcr.11.2011.5240.


Intracerebral haemorrhage after the neonatal period.

Livingston J, Brown J Arch Dis Child. 1986; 61(6):538-44.

PMID: 3729521 PMC: 1777854. DOI: 10.1136/adc.61.6.538.

References
1.
Marciniak E, Farley C, DeSimone P . Familial thrombosis due to antithrombin 3 deficiency. Blood. 1974; 43(2):219-31. View

2.
Oettgen H, Stephenson P, Schwartz M, LEEPER R, Tallai L, Tan C . Toxicity of E. coli L-asparaginase in man. Cancer. 1970; 25(2):253-78. DOI: 10.1002/1097-0142(197002)25:2<253::aid-cncr2820250204>3.0.co;2-u. View

3.
Ramsay N, Coccia P, Krivit W, NESBIT M, Edson J . The effect of L-asparaginase of plasma coagulation factors in acute lymphoblastic leukemia. Cancer. 1977; 40(4):1398-401. DOI: 10.1002/1097-0142(197710)40:4<1398::aid-cncr2820400406>3.0.co;2-#. View

4.
Dearth J, Fountain K, Smithson W, BURGERT Jr E, Gilchrist G . Extreme leukemic leukocytosis (blast crisis) in childhood. Mayo Clin Proc. 1978; 53(4):207-11. View

5.
Egeberg O . INHERITED ANTITHROMBIN DEFICIENCY CAUSING THROMBOPHILIA. Thromb Diath Haemorrh. 1965; 13:516-30. View