与长期神经认知功能受损相关的急性甲醇毒性神经毒性事件
Rachel D Harris1,2, Olga A Taylor1,2, Kimberly P Raghubar3,4
1Department of Pediatrics, Division of Hematology/Oncology, Baylor College of Medicine, Houston, Texas, USA.
Pediatric blood & cancer
|July 4, 2024
概括
在化疗期间经历神经毒性的急性淋巴细胞白血病 (ALL) 治疗的儿童可能在精细运动技能和注意力方面存在长期缺陷. 建议对这些患者进行早期查和干预.
科学领域:
- 儿科瘤学 儿科瘤学
- 神经科学是一个神经科学.
- 临床药理学 临床药理学
背景情况:
- 甲托雷克萨特对于治疗儿科急性淋巴细胞白血病 (ALL) 是必不可少的.
- 甲托雷克萨特可以引起神经毒性,但这种事件发生后的长期结果没有得到充分记录.
研究的目的:
- 为了比较长期的神经认知表现在儿科ALL幸存者和没有急性神经毒性病史.
主要方法:
- 神经认知表现的回顾性分析.
- 具有 (n=25) 和没有 (n=146) 急性神经毒性病史的ALL患者之间的比较.
- 诊断后12个月以上进行的评估 (平均=4年).
主要成果:
- 患有神经毒性病史的患者表现出明显较差的精细运动功能 (p=0.02).
- 患有神经毒性病史的患者表现出较差的注意力 (p=0.02).
- 在其他认知领域没有观察到显著差异 (细节未在摘要中指定).
结论:
- 在ALL治疗期间的急性神经毒性与持续的神经认知缺陷有关.
- 患有神经毒性病史的儿童ALL幸存者可能会从早期神经心理查中受益.
- 应考虑对受影响儿童采取干预策略,以减轻长期影响.
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