Immune checkpoint inhibitors (ICI): toxicity management

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Immune checkpoint inhibitors (ICI): toxicity management. NMDAR, Caspr1, Anti-MOG, Anti-NMO, Paraneoplastic. Fully referenced neurology checklist.

Autoimmune tests

  • NMDAR
  • Caspr1
  • Anti-MOG
  • Anti-NMO
  • Paraneoplastic
  • Anti AChR
  • Anti-MUSK
  • Anti-ganglioside
  • Myositis panel

Other blood tests

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Other investigations

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Treatment

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References

  1. Spain L, Tippu Z, Larkin JM, Carr A, Turajlic S. How we treat neurological toxicity from immune checkpoint inhibitors. ESMO Open 2019; 4(Suppl 4):e000540.
  2. Astaras C, de Micheli R, Moura B, Hundsberger T, Hottinger AF. Neurological adverse events associated with immune checkpoint inhibitors: diagnosis and management. Curr Neurol Neurosci Rep 2018; 18:3.
  3. Thummalapalli R, Sena LA, Probasco JC, Gladstone DE. Checkpoint inhibitor-induced autoimmune encephalitis reversed by rituximab after allogeneic bone marrow transplant in a patient with Hodgkin lymphoma. Leuk Lymphoma 2020; 61:228-230.

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