Abstract
Intraventricular interferon (IFN) administration has been shown to improve the course of SSPE. However, in 2 patients treated with intraventricular IFN-α-2a over a long period, we observed the appearance of clinical and EMG signs suggestive of upper and lower motor neuron pathology. These signs improved slightly in one patient after the discontinuation of IFN. It is suggested that this polypeptide may act on specific kinds of nervous cells which selectively suffer together in various well-known neurological diseases.
Sommario
La somministrazione intraventricolare di interferon (IFN) è stata vista migliorare il decorso della panencefalite sclerosante subacuta. Tuttavia, in 2 pazienti trattati con IFN-alfa-2a per un lungo periodo, noi abbiamo osservato la comparsa di segni clinici ed EMG suggestivi di una patologia del motoneurone superiore e inferiore. Tali segni migliorarono leggermente in un paziente dopo sospensione della terapia con IFN. Si suggerisce che questo polipeptide possa esercitare un'azione su uno specifico tipo di cellule nervose che selettivamente soffrono insieme in diverse ben note affezioni neurologiche.
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References
Bernsen P.L.J.A., Wong Chung R.E., Vingerhoets H.M., Janssen J.T.P.:Bilateral neuralgic amyotrophy induced by interferon treatment. Arch, Neurol., 45:449–451, 1988.
Cianchetti C., Muntoni F., Fratta A.L., Spinicci G., Marrosu G., Galantuomo S., Dolei A., Bergonzi F., Coraddu M., Marrosu M.G.:Intraventricular alpha-interferon treatment of subacute sclerosing panencephalitis. In: Pant B., Prabhakar S., eds. Subacute Sclerosing Panencephalitis. An Update (Proceedings of the 3rd International Symposium on SSPE, Oct. 30–31, 1989). Vellore (India): Christian Medical College and Hospital, 203–209, 1989.
Cianchetti C., Muntoni F., Fratta A.L., Marrosu M.G.:Immunological parameters in subacute sclerosing panencephalitis and the effect of intraventricular interferon. In: Marrosu M.G., Cianchetti C., Tavolato B., eds. Trends in Neuroimmunology. New York: Plenum Press, 127–134, 1990.
Gascon G.G., Yamani S., Cafege A., Flock L., Al-Sedairy S., Parhar S., Crowell J., Nester M., Kanaan I., Jallu M.A.:Treatment of subacute sclerosing panencephalitis with alpha interferon. Ann. Neurol., 30:227–228, 1991.
Harbord M.G., Jones T., Hicks E.P., Blumbergs P.C.:Intraventricular administration of interferon and administration of methisoprinol by mouth in the treatment of adult-onset subacute sclerosing panencephalitis. Med. J. Australia, 148:467–473, 1988.
Meyers C.A., Obbens E.A.M.T., Scheibel R.S., Moser R.P.:Neurotoxicity of intraventricularly administered alpha-interferon for leptomeningeal disease. Cancer, 68:88–92, 1991.
Meyers C.A., Scheibel R.S., Forman A.D.:Persistent neurotoxicity of systemically administered interferon-alpha. Neurology, 41:672–676, 1991.
Mitchell W.G., Crawford T.O.:Intraventricular alpha 2b interferon for SSPE. Neurology, 37:1884, 1987.
Panitch H.S., Gomez-Plascencia J., Norris F.H., Cantell K., Smith R.A.:Subacute sclerosing panencephalitis: remission after treatment with intraventricular interferon. Neurology, 36:562–566, 1986.
Risk W.S., Haddad F.S.:The variable natural history of subacute sclerosing panencephalitis. A study of 118 cases from the Middle East. Arch. Neurol., 36:610–614, 1979.
Smedley H. Katrak M., Sikora K., Wheeler T.:Neurological effects of recombinant human interferon. Brit. Med. J., 286:262–264, 1983.
Steiner I., Wirgiun I., Morag A., Abramsky O.:Intraventricular alpha interferon for subacute sclerosing panencephalitis. J. Child. Neurol., 4:20–23, 1989.
Vesikari T., Nuutila A., Cantell K.:Neurologic sequelae following interferon therapy of juvenile laryngeal papilloma. Acta Paediatr. Scand., 77:619–622, 1988.
Yalaz K., Anlar B., Oktem F., Aysun S., Ustacelebi S., Gurcay O., Gucuyener K., Renda Y:Intraventricular interferon and oral inosiplex in the treatment of subacute sclerosing panencephalitis. Neurology, 42:488–491, 1992.
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Cianchetti, C., Fratta, A.L., Muntoni, F. et al. Toxic effect of intraventricular interferon-alpha in subacute sclerosing panencephalitis. Ital J Neuro Sci 15, 153–155 (1994). https://doi.org/10.1007/BF02339207
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DOI: https://doi.org/10.1007/BF02339207