Neuromuscular complications of immune checkpoint inhibitors

Dimitri Psimaras1

  • 1Sorbonne université, Inserm, CNRS, UMR S 1127, institut du cerveau et de la moelle épinière, ICM, AP-HP, hôpitaux universitaires La Pitié Salpêtrière - Charles Foix, service de neurologie 2-Mazarin, 75013 Paris, France; OncoNeuroTox Group, Center for Patients with Neurological Complications of Oncologic Treatments, Hôpitaux Universitaires Pitié-Salpetrière-Charles Foix et Hôpital Percy, 75013 Paris, France.

Presse Medicale (Paris, France : 1983)
|November 11, 2018
PubMed

Insights

Immune checkpoint inhibitors (ICIs) can cause rare but severe neurological immune-related adverse events (irAEs), primarily affecting the neuromuscular system. Early multidisciplinary recognition and treatment with immune-modulating therapies are crucial for better patient outcomes.

Area of Science:

  • Oncology
  • Neurology
  • Immunology

Background:

  • Immune checkpoint inhibitors (ICIs) are widely used cancer treatments.
  • While effective, ICIs can cause immune-related adverse events (irAEs).
  • Neurological irAEs are uncommon but serious complications of ICIs.

Purpose of the Study:

  • To highlight the occurrence and characteristics of neurological irAEs.
  • To emphasize the importance of early diagnosis and management.
  • To underscore the need for a multidisciplinary approach in managing these events.

Main Methods:

  • Review of existing literature on neurological irAEs associated with ICIs.
  • Analysis of clinical presentations and treatment responses.
  • Synthesis of information regarding diagnostic challenges and therapeutic strategies.

Main Results:

  • Neuromuscular complications are the most frequent type of neurological irAE.
  • These events represent a distinct category of neurologic complications from systemic anticancer therapies.
  • Many neurological irAEs show responsiveness to immune-modulating treatments.

Conclusions:

  • Neurological irAEs are rare but severe adverse events associated with ICIs.
  • Prompt identification and intervention are critical for improving functional outcomes.
  • A collaborative, multidisciplinary approach is essential for optimal patient care.

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