Can central nervous system leukaemia cure?

summary

Central nervous system leukemia, referred to as "naobai", is due to the infiltration of leukemic cells into the meninges or brain parenchyma, so that patients show corresponding neurological and / or psychiatric symptoms. Leukaemia can be seen at any stage of leukemia. Can central nervous system leukaemia cure? Next, I'd like to share my views with you.

Can central nervous system leukaemia cure?

The main clinical manifestations were headache, nausea, vomiting, papilledema, visual impairment, convulsion, coma, hemiplegia and meningeal irritation. Cerebrospinal fluid examination may have increased intracranial pressure, increased protein and white blood cell count, decreased sugar and chloride, and leukemic cells may be found. Central nervous system leukemia can occur at any stage of acute leukemia, but most of them occur in remission.

Similar to meningitis, intracranial hypertension, such as headache, vomiting, optic nerve papilledema, etc. If the pressure of cerebrospinal fluid is increased, the number of white blood cells and protein in cerebrospinal fluid are increased, and the sugar is decreased, leukemia cells can be detected. Cerebral nerve invasion can cause corresponding symptoms, such as visual impairment, pupil changes and facial nerve paralysis, the latter is more common in all patients.

CNSL can occur in all stages of acute leukemia, not only as the first symptom of leukemia, but also many years after remission. It is more common in complete remission about half a year after onset. All is significantly more than AML. Patients with WBC higher than 50x109 / L and enlargement of liver, spleen and lymph nodes had CNSL. Leukemic cells entering the central nervous system can be caused by blood dissemination, infiltration of bone marrow leukemic cells in the skull or intracranial punctate hemorrhage.

matters needing attention

(1) Do a good job in the ideological work of patients, eliminate mental tension, let patients rest quietly in bed, avoid visiting（ 2) The ward should be clean and disinfected, smoking is forbidden, the diet should be light and clean, and the stool should be unobstructed（ 3) Pay attention to the mental state and mental changes of patients, and closely observe the changes of body temperature, pulse, respiration and blood pressure.