PEDIATRIC HEMATOLOGY AND ONCOLOGY, cilt.18, sa.5, ss.343-346, 2001 (SCI-Expanded)
A 4-year-old boy with acute lymphoblastic leukemia receiving maintenance treatment developed quadriparesis, facial palsy, difficulty in swallowing, and hypertension following a respiratory infection and candida septicemia. Examination of the cerebrospinal fluid was normal initially but later showed albuminoncytologic dissociation, the characteristic finding of Guillain-Barre syndrome. Complete recovery occurred after treatment with intravenous immunoglobulin. Differential diagnosis of Guillain-Barre syndrome from vincristine toxicity in patients with leukemia and possible association with the infections are discussed.