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[Neurological complications associated with immune checkpoint inhibitors]
Magne Solberg Nes1, Åsmund Flobak2, Christian Vedeler3
1Nevrologisk avdeling, St. Olavs hospital.
Immune checkpoint inhibitors can cause frequent nervous system toxicities. This review details neurotoxic complications from these cancer treatments, emphasizing clinical vigilance for serious side effects.
Area of Science:
- Neuro-oncology
- Immunotherapy
- Clinical Toxicology
Background:
- Immune checkpoint inhibitors (ICIs) are revolutionary cancer therapies.
- Immune-mediated adverse events are common with ICIs.
- Neurological toxicities pose significant clinical challenges.
Purpose of the Study:
- To review neurotoxic complications of immune checkpoint inhibitors.
- To inform clinicians about potential neurological side effects.
- To highlight the importance of vigilance in managing ICI therapy.
Main Methods:
- Literature review of clinical studies and case reports.
- Analysis of neurotoxicity incidence and presentation.
- Synthesis of current understanding of ICI-related neurotoxicity.
Main Results:
- Neurotoxicity affects both central and peripheral nervous systems.
- Common presentations include meningitis, encephalitis, and neuropathies.
- Early recognition and management are crucial for patient outcomes.
Conclusions:
- Immune checkpoint inhibitors can lead to diverse neurotoxicities.
- Clinicians require heightened awareness of these potential complications.
- Proactive monitoring and timely intervention are essential for safe ICI use.
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