Table 1.
Patient number | Age (years)/Sex | Diagnosis | Total dose of intrathecal methotrexate | Methotrexate therapy before intrathecal administration | Clinical course | Symptoms of transverse myelitis | Signal hyperintensity on T2-weighted magnetic resonance imaging | Serum vitamin B12/folic acid | Clinical improvement after vitamin supplementation | Reference |
---|---|---|---|---|---|---|---|---|---|---|
1 | 28/F | NHL | 12mg ×8 | + | Subacute | + | C-S (posterior and lateral funiculi) | Normal/normal | Mild | Lu et al. [8] |
2 | 60/F | NHL | 12mg ×9 | – | Subacute | – | C-S (posterior funiculus) | Normal/N.D. | No | Lu et al. [8] |
3 | 26/F | ALL | 12mg ×3 | + | Acute | + | C-T (posterior funiculus) | Normal/N.D. | Mild | Counsel and Khangure [9] |
4 | 45/M | ALL | 15mg ×7 | + | Subacute | + | T-S (posterior and lateral funiculi) | N.D. | No | Honda and Ujihira [10] |
5 | 42/F | ALL | 12mg ×2 | – | Subacute | – | C-T (posterior and lateral funiculi) | High/normal | No | Gosavi et al. [11] |
6 | 59/M | NHL | 14mg ×5 | + | Subacute | + | C-T (posterior and lateral funiculi) | Normal/normal | No | Our study |
ALL, acute lymphocytic leukemia; C, cervical spinal cord; F, female; M, male; N.D., not determined; NHL, non-Hodgkin lymphoma; S, sacral spinal cord; T, thoracic spinal cord