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Guillain-Barré syndrome after bortezomib therapy in a child with relapsed acute lymphoblastic leukemia
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  • Valeria Ceolin,
  • Rosita Cenna,
  • Francesca Resente,
  • Manuela Spadea,
  • Franca Fagioli,
  • Nicoletta Bertorello
Valeria Ceolin
University of Turin

Corresponding Author:[email protected]

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Rosita Cenna
University of Turin
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Francesca Resente
University of Turin
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Manuela Spadea
University of Turin
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Franca Fagioli
Regina Margherita Children’s Hospital
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Nicoletta Bertorello
Pediatric Oncohematology, Stem Cell Transplantation and Cell Therapy Division. A.O. Città della Salute e della Scienza - Ospedale Infantile “Regina Margherita”, Turin, Italy Turin
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Abstract

A 12-year-old male being treated for a high-risk relapsed T-acute lymphoblastic leukemia presented progressive weakness and numbness of both legs after having received a chemotherapy regimen that included bortezomib. Diagnosis of acute Guillain-Barré syndrome (GBS)-like inflammatory demyelinating polyneuropathy was made following clinical examination, cerebrospinal fluid analysis, electrodiagnostic studies, magnetic resonance imaging, and serum immunoglobulin antibodies to anti-ganglioside. Intravenous immunoglobulin (IVIG) treatment was started, resulting in complete clinical recovery. Although in rare cases, GBS after bortezomib therapy has been reported; this paper suggests that GBS may occur when bortezomib is administered and high‑dose IVIGs lead to a resolution of the symptoms.