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Comprehensive Cancer Center (Drs. O'Neill, Frytak, Eagan, and Lee), and the Departments of Neurology (Drs. So and O'Neill). Oncology (Drs. Frytak, Eagan, and Lee). and Radiology (Dr. Earnest), Mayo Foundation and Mayo Medical School, Rochester, MN.
Six patients with small cell lung cancer developed a slowly progressive neurologic syndrome characterized by apathy, abulia, memory loss, gait ataxia, and corticospinal tract signs 26 to 50 months (mean, 35.2 months) after prophylactic cranial irradiation and systemic chemotherapy. In each case this was accompanied by CT and/or MRI evidence of changes in the periventricular white matter. These patients are long-term survivors (41 to 69 months) and do not have CNS metastases.
Address correspondence and reprint requests to Dr. O'Neill, The Comprehensive Cancer Center, Mayo Foundation and Mayo Medical School, Rochester, MN 55905.
Presented in part at the thirty-eighth annual meeting of the American Academy of Neurology, New Orleans, LA, April 1986.
Received July 28, 1986. Accepted for publication in final form October 14, 1986.
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