Almost normal cognitive function in patients during therapy for childhood acute lymphoblastic leukemia without cranial irradiation according to ALL-BFM 95 and COALL 06-97 protocols: Results of an Austrian-German multicenter longitudinal study and implications for follow-up

Paul Krappmann, Marios Paulides, Wolfgang Stöhr, Edith Ittner, Bernhard Plattig, Petra Nickel, Herwig Lackner, Martin Schrappe, Gritta Janka, Jörn D. Beck, Thorsten Langer*

*Corresponding author for this work
22 Citations (Scopus)

Abstract

In a multicenter study the authors prospectively investigated neurocognitive function in childhood ALL patients. Sixty-six patients (mean age at diagnosis 7.9 ± 3.6 years, 34 female), treated with repeated intrathecal and systemical methotrexate administrations without cranial irradiation, underwent psychometric testing for intelligence, concentration, and visual-motor integration postdiagnosis and after reinduction therapy. Although there was a statistically significant decline of intellectual function after reinduction therapy for younger patients and girls (IQ scores still within normative data range), there were no differences in visual-motor performance and concentration over the time of induction therapy. Thus, neurocognitive examination should focus on younger ALL patients and girls.

Original languageEnglish
JournalPediatric Hematology and Oncology
Volume24
Issue number2
Pages (from-to)101-109
Number of pages9
ISSN0888-0018
DOIs
Publication statusPublished - 02.2007

Research Areas and Centers

  • Academic Focus: Center for Brain, Behavior and Metabolism (CBBM)

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