Korean J Pediatr Hematol Oncol.  2000 Oct;7(2):305-309.

A Case of Cerebral Infarction in a Child with Acute Lymphoblastic Leukemia Developed during Chemotherapy with E coli Asparaginase

Affiliations
  • 1Department of Pediatrics, School of Medicine, Hallym University, Seoul, Korea.
  • 2Department of Radiology, School of Medicine, Hallym University, Seoul, Korea.

Abstract

E. coli L-asparaginase treatment during induction therapy in acute lymphoblastic leukemia is known to be rarely complicated by thromboembolic events. It causes deficiencies of antithrombin III, plasminogen, fibrinogen, factor IX, XI, protein C and protein S. We recently experienced a case of infarction during induction therapy in a 9-year-old child diagnosed with ALL. After the four dose of L-asparaginase, she had a generalized tonic- clonic seizure and MRI of the head showed both occipital infarction. She had gross recovery of the neurological impairment in 4 days. We report this case with brief review of literature.

Keyword

L-asparaginase; Cerebral infarction; Acute lymphoblastic leukemia

MeSH Terms

Antithrombin III
Asparaginase*
Cerebral Infarction*
Child*
Drug Therapy*
Escherichia coli*
Factor IX
Fibrinogen
Head
Humans
Infarction
Magnetic Resonance Imaging
Plasminogen
Precursor Cell Lymphoblastic Leukemia-Lymphoma*
Protein C
Protein S
Seizures
Antithrombin III
Asparaginase
Factor IX
Fibrinogen
Plasminogen
Protein C
Protein S
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