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
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- 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.