Skip to main content

Advertisement

Log in

Incidence of central nervous system involvement in chronic lymphocytic leukemia and outcome to treatment

  • ORIGINAL COMMUNICATION
  • Published:
Journal of Neurology Aims and scope Submit manuscript

Abstract

Leptomeningeal involvement in patients with CLL is relatively rare and the prognosis is usually considered to be poor. The authors reviewed all CLL patients treated in a tertiary referral center to assess the incidence and outcome of leptomeningeal involvement (LI) in CLL. They found an incidence of 1–2% of LI. Most of the patients with LI had a longterm survival, despite failure to clear the cerebrospinal fluid from tumor cells.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Barcos M, Lane W, Gomez GA, et al. (1987) An autopsy study of 1206 acute and chronic leukemias (1958 to 1982). Cancer 60:827–837

    Article  PubMed  CAS  Google Scholar 

  2. Knop S, Herrlinger U, Ernemann U, et al. (2005) Fludarabine may induce durable remission in patients with leptomeningeal involvement of chronic lymphocytic leukemia. Leuk Lymphoma 46:1593–1598

    Article  PubMed  CAS  Google Scholar 

  3. Paolini R, Ramazzina E, Zennaro R, et al. (1995) Remission of leukemic meningitis after fludarabine. Lancet 346:972

    Article  PubMed  CAS  Google Scholar 

  4. Elliott MA, Letendre L, Li CY, Hoyer JD, Hammack JE (1999) Chronic lymphocytic leukaemia with symptomatic diffuse central nervous system infiltration responding to therapy with systemic fludarabine. Br J Haematol 104:689–694

    Article  PubMed  CAS  Google Scholar 

  5. Cramer SC, Glaspy JA, Efird JT, Louis DN (1996) Chronic lymphocytic leukemia and the central nervous system: A clinical and pathological study. Neurology 46:19–25

    PubMed  CAS  Google Scholar 

  6. Montillo M, Hamblin T, Hallek M, Montserrat E, Morra E (2005) Chronic lymphocytic leukaemia: novel prognostic factors and their relevance for riskadapted therapeutic strategies. Haematologica 90:391–399

    PubMed  CAS  Google Scholar 

  7. Weizsaecker M, Koelmer HW (1979) Meningeal involvement in leukemias and malignant lymphomas of adults: Incidence, course of disease and treatment for prevention. Acta Neurol Scand 60:363–370

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to M. J. van den Bent.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Hanse, M.C.J., van’t Veer, M.B., van Lom, K. et al. Incidence of central nervous system involvement in chronic lymphocytic leukemia and outcome to treatment. J Neurol 255, 828–830 (2008). https://doi.org/10.1007/s00415-008-0710-4

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00415-008-0710-4

Key words

Navigation