Neuromuscular complications of immune checkpoint inhibitors

Presse Med. 2018 Nov-Dec;47(11-12 Pt 2):e253-e259. doi: 10.1016/j.lpm.2018.10.009. Epub 2018 Nov 6.

Abstract

Immune checkpoint inhibitors have been increasingly used in patients with various cancers. Despite favourable oncological outcomes these treatments have also been associated with immune-related adverse events. Neurological irAE are rare but potentially severe and neuromuscular complications are the most common. This is a new group of neurologic complications of systemic anticancer therapies, often responsive to immune-modulating therapies. Early recognition and treatment are crucial for timely improvement of functional outcome and requires a multidisciplinary approach.

Publication types

  • Review

MeSH terms

  • Cell Cycle Checkpoints / immunology
  • Humans
  • Immunotherapy / adverse effects*
  • Immunotherapy / methods
  • Myasthenia Gravis / chemically induced
  • Myasthenia Gravis / diagnosis
  • Myasthenia Gravis / therapy
  • Myositis / chemically induced
  • Myositis / diagnosis
  • Myositis / therapy
  • Neoplasms / drug therapy*
  • Neuromuscular Diseases / chemically induced*
  • Neuromuscular Diseases / diagnosis
  • Neuromuscular Diseases / epidemiology
  • Neuromuscular Diseases / therapy
  • Peripheral Nervous System Diseases / chemically induced
  • Peripheral Nervous System Diseases / diagnosis
  • Peripheral Nervous System Diseases / therapy
  • Protein Kinase Inhibitors / adverse effects*
  • Protein Kinase Inhibitors / therapeutic use

Substances

  • Protein Kinase Inhibitors