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. 2022 Aug 3;22:288. doi: 10.1186/s12883-022-02818-8

Table 2.

Clinicopathological findings of two cases with autopsy-proven chemobrains

Case 1 Case 2
Age/Gender 64/F 63/M
Active problem Loss of consciousness, sleep tendency, type I respiratory failure due to aspiration pneumonia and sepsis

Disorientation, drowsy mentality, sleep tendency, coma

Pneumonia, sepsis, & DIC, multiorgan failure

Underlying disease Relapsed Acute undifferentiated myelogenous leukemia Myelodysplastic syndrome excess blast 1 (MDS-EB1)
Chemotherapy-Regimen FLAG, IDAC Azacitidine #3
Transplant MUD-alloPBSCT MUD-alloPBSCT
Autopsy finding

Numerous axonal spheroid with vacuolar changes of the white matter and exogenous foamy macrophage (CD68-positive/TMEM119-negative) infiltration

Beta-amyloid deposit in the degenerated axons of the optic tract of occipital and temporal lobes

Numerous axonal spheroids with vacuolation of the white matter with exogenous foamy macrophage (CD68-positive/TMEM119-negative) infiltration

Beta-amyloid deposit in the axons, extensively in the most white matter

Main involving area The white matter of the occipital and temporal lobe The white matter of the occipital, temporal, and parietal lobe
T- or B-lymphocytes Absent in the entire brain parenchyma Absent in the entire brain parenchyma
Survival 3 months after alloPBSCT 4 months after alloPBSCT (about 3 months after onset of disorientation)

FLAG (fludarabine, Ara-Cytarabine, granulocyte colony-stimulating factor), IDAC Intermediate-dose Ara-Cytarabine, MUD Matched unrelated donor, allPBSCT Allogeneic peripheral blood stem cell transplantation