Case Report
Inflammatory Myeloradiculitis Secondary to Pembrolizumab: A Case Report and Literature Review
Table 2
Treatment and outcomes of reported cases of myelitis-related adverse events secondary to PD-L1 inhibitor therapy.
| Author | Treatment | Outcome |
| Carausu et al. [20] | Oral steroid 60 mg/day tapered over 2 months | Complete resolution, Pembrolizumab reinitiated without recurrence of myelitis | Chang et al. [21] | Dexamethasone 8 mg BD, bevacizumab 2 doses, 1000 mg daily methylprednisolone for 5 days, plasmapheresis, cyclophosphamide 100 mg/m3, and infliximab | Dramatic improvement post infliximab, however succumbed to malignancy soon after | Durães et al. [23] | Corticosteroid therapy for 5 days and plasma exchange for 7 sessions | Almost complete symptomatic recovery with residual mild sensory complaints | Narumi et al. [24] | Pulse steroid therapy, plasmapheresis | Minimal improvement | Poretto et al. [25] | High-dose steroid | Mild clinical and radiological improvement | Wilson et al. [27] | Intravenous methylprednisolone followed by oral prednisolone taper, intravenous immunoglobulins, and plasma exchange | Near complete remission, mild residual hypertonia |
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