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Published in: BMC Neurology 1/2010

Open Access 01-12-2010 | Case report

Recurrent myelitis after allogeneic stem cell transplantation. Report of two cases

Authors: Martin Voß, Felix Bischof

Published in: BMC Neurology | Issue 1/2010

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Abstract

Background

Allogeneic and autologous haematopoietic stem cell transplantation are established treatment options for haematological malignancies and may possibly be employed to treat a range of genetic and autoimmune diseases.

Case presentation

We report two patients who developed an acute myelitis within their thoracic spinal cord after allogeneic stem cell transplantation. Myelitis in these patients was not related to graft versus host disease or immune reconstitution and was responsive to intravenous methylprednisolone and cyclophosphamide.

Conclusions

Myelitis is a possibly disabling consequence of haematopoietic stem cell transplantation.
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Literature
1.
go back to reference Denier C, Bourhis JH, Lacroix C, Koscielny S, Bosq J, Sigal R, Said G, Adams D: Spectrum and prognosis of neurologic complications after hematopoietic transplantation. Neurology. 2006, 67: 1990-7. 10.1212/01.wnl.0000247038.43228.17.CrossRefPubMed Denier C, Bourhis JH, Lacroix C, Koscielny S, Bosq J, Sigal R, Said G, Adams D: Spectrum and prognosis of neurologic complications after hematopoietic transplantation. Neurology. 2006, 67: 1990-7. 10.1212/01.wnl.0000247038.43228.17.CrossRefPubMed
2.
go back to reference Saiz A, Graus F: Neurological complications of hematopoietic cell transplantation. Semin Neurol. 2004, 24: 427-34. 10.1055/s-2004-861537.CrossRefPubMed Saiz A, Graus F: Neurological complications of hematopoietic cell transplantation. Semin Neurol. 2004, 24: 427-34. 10.1055/s-2004-861537.CrossRefPubMed
3.
go back to reference de Lima M, Couriel D, Thall PF, Wang X, Madden T, Jones R, Shpall EJ, Shahjahan M, Pierre B, Giralt S, et al: Once-daily intravenous busulfan and fludarabine: clinical and pharmacokinetic results of a myeloablative, reduced-toxicity conditioning regimen for allogeneic stem cell transplantation in AML and MDS. Blood. 2004, 104: 857-64. 10.1182/blood-2004-02-0414.CrossRefPubMed de Lima M, Couriel D, Thall PF, Wang X, Madden T, Jones R, Shpall EJ, Shahjahan M, Pierre B, Giralt S, et al: Once-daily intravenous busulfan and fludarabine: clinical and pharmacokinetic results of a myeloablative, reduced-toxicity conditioning regimen for allogeneic stem cell transplantation in AML and MDS. Blood. 2004, 104: 857-64. 10.1182/blood-2004-02-0414.CrossRefPubMed
4.
go back to reference Airas L, Paivarinta M, Roytta M, Karhu J, Kauppila M, Itala-Remes M, Remes K: Central nervous system immune reconstitution inflammatory syndrome (IRIS) after hematopoietic SCT. Bone Marrow Transplant. 2010, 45: 593-6. 10.1038/bmt.2009.186.CrossRefPubMed Airas L, Paivarinta M, Roytta M, Karhu J, Kauppila M, Itala-Remes M, Remes K: Central nervous system immune reconstitution inflammatory syndrome (IRIS) after hematopoietic SCT. Bone Marrow Transplant. 2010, 45: 593-6. 10.1038/bmt.2009.186.CrossRefPubMed
5.
go back to reference Rosser AE, Zietlow R, Dunnett SB: Stem cell transplantation for neurodegenerative diseases. Curr Opin Neurol. 2007, 20: 688-92. 10.1097/WCO.0b013e3282f132fc.CrossRefPubMed Rosser AE, Zietlow R, Dunnett SB: Stem cell transplantation for neurodegenerative diseases. Curr Opin Neurol. 2007, 20: 688-92. 10.1097/WCO.0b013e3282f132fc.CrossRefPubMed
6.
go back to reference Mondria T, Lamers CH, te Boekhorst PA, Gratama JW, Hintzen RQ: Bone-marrow transplantation fails to halt intrathecal lymphocyte activation in multiple sclerosis. J Neurol Neurosurg Psychiatry. 2008, 79: 1013-5. 10.1136/jnnp.2007.133520.CrossRefPubMed Mondria T, Lamers CH, te Boekhorst PA, Gratama JW, Hintzen RQ: Bone-marrow transplantation fails to halt intrathecal lymphocyte activation in multiple sclerosis. J Neurol Neurosurg Psychiatry. 2008, 79: 1013-5. 10.1136/jnnp.2007.133520.CrossRefPubMed
Metadata
Title
Recurrent myelitis after allogeneic stem cell transplantation. Report of two cases
Authors
Martin Voß
Felix Bischof
Publication date
01-12-2010
Publisher
BioMed Central
Published in
BMC Neurology / Issue 1/2010
Electronic ISSN: 1471-2377
DOI
https://doi.org/10.1186/1471-2377-10-76

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