Montejo C, Navarro‐Otano J, Mayà‐Casalprim G, Campolo M, Casanova‐Mollá J. Acute lumbar polyradiculoneuropathy as early sign of methotrexate intrathecal neurotoxicity: Case report and literature review.
Clin Case Rep 2019;
7:638-643. [PMID:
30997053 PMCID:
PMC6452470 DOI:
10.1002/ccr3.2026]
[Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2018] [Revised: 12/30/2018] [Accepted: 01/16/2019] [Indexed: 12/12/2022] Open
Abstract
Acute paraplegia after treatment with intrathecal methotrexate requires a complete spinal cord neuroimaging as well as electrodiagnostic examination. The absence of lumbosacral F waves motor responses without demyelinating findings may indicate early direct root toxicity. Early electromyography (EMG) screening could be a valuable tool for detecting peripheral neurotoxicity.
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