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Neurological complication of non Hodgkin lymphoma in childhood: experience from a single center in Turkey

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Abstract

Purpose

Lymphomas are the third most common childhood malignant disease after leukemia and central nervous system (CNS) tumors. Early diagnosis of these complications will reduce mortality and morbidity. In this study we aimed to review the neurological complications of childhood non Hodgkin Lymphoma (NHL).

Patients and methods

Forty four children with NHL between 2006 and 2012 were investigated retrospectively and 14 cases with neurological complications were identified.

Results

The most common symptom was alteration of the consciousness (10 patients, 71.4 %) followed by convulsion (5 patients, 35.7 %), and hallucination (4 patients, 28.5 %); headache, eye pain, neurogenic bladder, speech disability and facial paralysis, and hemiplegia, were less common and each of them was seen in 1 (7.1 %) of the patients. The neurological complications were mostly seen in children with precursor T lymphoblastic lymphoma followed by anaplastic large cell lymphoma. The complications were secondary to medications (Eight patients) infection (two patients); CNS relapse (two patients); or CNS involvement of the primary disease (two patients). Chemotherapy-related neurologic complications were secondary to intrathecal methotrexate, l-asparaginase, vincristine, and ifosfamide

Conclusion

Advanced disease and PTLL subtype can be suggested as predictors of neurological complication. The survival rates of neurological complications are fairly good unless it is secondary to involvement of the primary disease. In patients with drug-induced neurological complications, the treatment can be safely re-administered after controlling the neurological complications. Therefore, clinicians managing children with NHL must be informative about neurological complications.

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Conflicts of interest

The authors of this paper have no conflicts of interest, including specific financial interests, relationships, and/or affiliations relevant to the subject matter or materials included.

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Authors and Affiliations

  1. Department of Pediatrics, Division of Pediatric Hematology and Oncology, Selçuk University, Konya, Turkey

    Dogan Kose & Yavuz Koksal

  2. Faculty of Medicine, Department of Radiology, Division of Neuroradiology, Medipol University, Istanbul, Turkey

    Yahya Paksoy

  3. Department of Pediatrics, Division of Pediatric Hematology and Oncology, Erciyes University, 38039, Talas, Kayseri, Turkey

    Ekrem Unal

Authors
  1. Dogan Kose
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  2. Yahya Paksoy
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  3. Yavuz Koksal
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  4. Ekrem Unal
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Corresponding authors

Correspondence to Dogan Kose or Ekrem Unal.

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Kose, D., Paksoy, Y., Koksal, Y. et al. Neurological complication of non Hodgkin lymphoma in childhood: experience from a single center in Turkey. Childs Nerv Syst 30, 639–645 (2014). https://doi.org/10.1007/s00381-013-2267-5

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  • DOI: https://doi.org/10.1007/s00381-013-2267-5

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