학술논문

Intracranial pressure management in fulminant cerebral oedema after CAR T‐cell therapy: Not all is lost!
Document Type
Article
Source
British Journal of Haematology. Mar2024, Vol. 204 Issue 3, p1109-1113. 5p.
Subject
*INTRACRANIAL pressure
*CEREBRAL edema
*BREAST
*CHIMERIC antigen receptors
*NEUROLOGICAL disorders
*T cells
Language
ISSN
0007-1048
Abstract
This article discusses a case of fulminant cerebral edema (FCE) following CAR T-cell therapy, a treatment for certain types of cancer. FCE is a rare but severe complication that can lead to brain death within 24 hours. The patient in this case was successfully treated with prompt neurointensive support and immunosuppressive anti-cytokine therapy. The article emphasizes the importance of managing intracranial pressure (ICP) to prevent brain damage and highlights the need for aggressive neurointensive measures in addition to immunosuppressive therapy. The underlying pathophysiology of FCE is not fully understood, but the disruption of the blood-brain barrier and cytokine-mediated inflammation are believed to play a role. The article concludes that FCE is a potentially reversible complication and that early intervention is crucial for a positive outcome. [Extracted from the article]