Vol 12, No 3 (2016)
Case report
Published online: 2016-08-31

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Posterior reversible encephalopathy syndrome (PRES) induced by intrathecal methotrexate administration in a patient with acute lymphoblastic leukaemia

Agata Adamczewska, Katarzyna Adamczewska, Katarzyna Jończyk-Potoczna, Anna Pieczonka, Katarzyna Derwich
Oncol Clin Pract 2016;12(3):102-104.

Abstract

A patient with B-cell precursor acute lymphoblastic leukaemia was diagnosed with posterior reversible encephalopathy syndrome (PRES) after an intrathecal administration of methotrexate during induction chemotherapy. PRES presented with headache, epilepsy, unconsciousness, blurred vision, hypertension, and vomiting. Also, characteristic lesions of the central nervous system were revealed by magnetic resonance imaging of the head, especially in the white matter of the posterior lobes.

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