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Multiple nivolumab-induced CNS demyelination with spontaneous resolution in an asymptomatic metastatic melanoma patient.

Vincent PillonelVincent DunetAndreas F HottingerGregoire BerthodLuis SchiappacasseSolange PetersOlivier MichielinAedo Lopez Veronica
Published in: Journal for immunotherapy of cancer (2019)
We report the first case of a melanoma patient with an asymptomatic and spontaneously reversible central nervous system demyelination following nivolumab immunotherapy. This case highlights the need for better recognition of such atypical and rare neurological toxicities which could be mistaken for progressive brain metastases. Early recognition and appropriate management are crucial to reduce severity and duration of these toxicities, especially for patients with less favourable evolution.
Keyphrases
  • brain metastases
  • case report
  • small cell lung cancer
  • multiple sclerosis
  • diabetic rats
  • high glucose
  • blood brain barrier
  • cerebrospinal fluid
  • oxidative stress
  • single molecule
  • drug induced
  • skin cancer