Table 3.
Article | Patient Population | Timing of Testing | Neurotoxic Agent | CV – Motor Nerves Assessed: % abnormal | CV – Sensory Nerves Assessed: % abnormal | CMAP Nerves Assessed: % abnormal | SNAP Nerves Assessed: % abnormal |
---|---|---|---|---|---|---|---|
On-Treatment | |||||||
Kavcic et al 201729 | Mixed Tumor Types (67% ALL) n=39 Age: 10 ± 6·4 |
After minimum of 4 doses | Vincristine | Median, ulnar: 7% Tibial, peroneal: 11% |
Median, ulnar: 48% Sural: 7% |
Median, ulnar: 33% Tibial, peroneal: 48% |
Median, ulnar: 67% Sural: 11% |
Yildiz & Temucin 201628 | Mixed Tumor Types with suspected neuropathy (80% ALL) n=25 Age: mean 7·2 ± 4·8 |
49·3 ± 28·6 days | Vincristine | Median, ulnar, tibial, peroneal and sural: WNL |
Median, ulnar, peroneal and sural: WNL |
Median, ulnar, tibial, peroneal and sural: Group data significantly decreased |
Median, ulnar, tibial, peroneal and sural: WNL |
Toopchizadeh et al 200930 | Mixed Tumor Types (60% ALL) n=42 Age: mean 6·2 |
5 weeks after initiation of chemotherapy | Vincristine | Median, Tibial: WNL |
Median, Sural: WNL |
Tibial, median, and ulnar: ALL 96% Other cancers 52·9% |
Median, ulnar, Sural: WNL |
Off Treatment | |||||||
Kandula et al 201831 | Mixed tumor types (52% Leukemia) n= 121 Age: median 16 (range 7–47) |
Median 8.5 years (1·5 – 29) | Vincristine or Platinum | - | Sural: WNL |
Tibial and Peroneal: WNL |
Median: WNL Sural: Vinc 18% Plat 39% |
Tay et al 201722 | ALL n=101 Age: mean 11·8 ± 3·8 |
>2 years | Vincristine | Common peroneal, tibial, median, ulnar: 61·4%* |
Sural, medial, ulnar, radial: 55%* |
Common peroneal, tibial, median, ulnar: 61·4%* |
Sural, medial, ulnar, radial: 55%* |
Jain et al 201432 | ALL n=77 Age: mean 11·2 ± 3·9 |
within 3 years | Vincristine | Peroneal, Tibial, Median, and Ulnar: WNL |
Sural, Ulnar, Median: WNL |
Median, Ulnar: 7·8% Peroneal, Tibial: 50·7% |
Sural, Ulnar, Median: WNL |
Ramchandren et al 20095 | ALL n=37 Age: mean 14·4 ± 2·8 |
>2 years | Vincristine | - | - | Median: 8% Peroneal: 21% |
Median: 5% Sural: WNL |
Unclear if abnormality reported was CV or amplitude, ALL Acute Lymphoblastic Leukemia, CMAP Compound Muscle Action Potential, CV Conduction Velocity, SNAP Sensory nerve action potential, WNL Result was Within Normal Limits