Leukemic leptomeningeal involvement in stage 0 and stage 1 chronic lymphocytic leukemia.

Abstract:

:Central nervous system (CNS) involvement in early (Rai Stage 0 and Stage 1) chronic lymphocytic leukemia (CLL) is rare, with only five cases reported. We present the sixth reported case, a 77-year-old male with a 4 year history of Stage 0 CLL who presented with sudden onset of diplopia and headache. Workup revealed a leukemic involvement of his CNS and he responded well to treatment with intrathecal (IT) methotrexate. After his third IT treatment, he developed a change in his mental status, consistent with a chemotherapy induced encephalopathy, which was effectively treated with IT hydrocortisone. In addition to the case presentation, we review the previously reported cases in an effort to determine any characteristics common among the Stage 0/1 CLL patients with reported CNS involvement.

journal_name

Leuk Lymphoma

journal_title

Leukemia & lymphoma

authors

Brick WG,Majmundar M,Hendricks LK,Kallab AM,Burgess RE,Jillella AP

doi

10.1080/10428190210191

keywords:

subject

Has Abstract

pub_date

2002-01-01 00:00:00

pages

199-201

issue

1

eissn

1042-8194

issn

1029-2403

journal_volume

43

pub_type

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