Methotrexate leukoencephalopathy presenting as Klüver-Bucy syndrome and uncinate seizures.

Abstract:

:Methotrexate causes several biochemical changes that impact the nervous system. The neurotoxicity usually affects the cerebral white matter, causing a leukoencephalopathy that can be chronic and progressive with cognitive decline. A 15-year-old male developed olfactory seizures and behavioral abnormalities (hypersexuality, placidity, and memory disturbances) compatible with partial Klüver-Bucy syndrome after treatment for central nervous system leukemia with intraventricular methotrexate. A magnetic resonance imaging study revealed evidence of white matter disease affecting both temporal lobes. A brain biopsy revealed a necrotizing encephalopathy compatible with methotrexate-related white matter injury. It may be prudent to verify normal cerebrospinal fluid dynamics before the administration of intraventricular methotrexate in children with a history of central nervous system leukemia.

journal_name

Pediatr Neurol

journal_title

Pediatric neurology

authors

Antunes NL,Souweidane MM,Lis E,Rosenblum MK,Steinherz PG

doi

10.1016/s0887-8994(01)00376-9

subject

Has Abstract

pub_date

2002-04-01 00:00:00

pages

305-8

issue

4

eissn

0887-8994

issn

1873-5150

pii

S0887899401003769

journal_volume

26

pub_type

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