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Late Stage Side Effects- Acute Lymphoblastic Leukemia- Brain Damage

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However, many of these survivors develop long-term chronic health conditions, with a relatively common late effect being neurocognitive dysfunction…”

Toxic chemotherapies cause so many long-term and late stage side effects that it’s only logical to think that chemotherapy also causes long-term damage to the brain.

I am a long-term AYA  survivor of a blood cancer, multiple myeloma. I underwent high dose chemotherapy (ASCT) in 12/95 at the age of 35.

I have struggled with more than a dozen long-term and late stage side effects since my conventional therapies in ’94,’95, ’96. I have a common side effect of high-dose chemotherapy called chemobrain or cognitive disfunction. I think adult chemobrain is pretty much the same kind of brain trauma discussed in the article linked and excerpted below.

My perspective of this long-term collateral damage is first, it is important to acknowledge that cure rates of pediatric ALL as well as other pediatric cancers is over 90%. Second, it is important to acknowledge that aggressive chemotherapy will damage the brain. No matter how old the cancer patient is. The damage that a cancer patient may sustain will differ among patients but toxic chemotherapy will damage all organs. Especially your brain.

The real question then is whether or not the brain damage caused by aggressive chemotherapy can be healed. My experience is that while my chemobrain is not healed 100%, my brain function-executive function, memory, multi-tasking, facial recognition, attention, others- is greatly improved and continues to improve. Further, as a 56 year old, it’s a high priority for me to improve my brain function.

Nutrition, lifestyle therapies and supplementation can all improve brain health according to numerous studies. I consider continued brain health to be just as important as managing my other long-term and late stage side effects such as heart and nerve damage. In short, the new normal is all about managing the collateral damage caused by aggressive conventional therapies shortly after I was diagnosed with multiple myeloma in 1994.

To learn more about those therapies to manage and heal collateral damage from toxic chemotherapy and or radiation, scroll down the page, post a question and I will reply. Or you can click the cancer coaching button to the right to this post.

thank you,

David Emerson

  • Cancer Survivor
  • Cancer Coach
  • Director PeopleBeatingCancer

Attention problems persist in childhood leukemia survivors treated with chemotherapy alone

“Pediatric acute lymphoblastic leukemia (ALL) patients from the contemporary treatment era remain at risk for attention and learning problems later, researchers report…

This contemporary therapy has helped to reduce treatment-related neurocognitive deficits while maintaining high cure rates. However, although about 90 percent of young ALL patients are alive a decade after their disease was diagnosed; survivors remain at risk for problems with attention and processing speed

“But we also show these young people are at an elevated risk for attention problems that have real-world consequences, particularly for learning and school performance…

“If we know attention problems seen at the end of therapy continue and contribute to academic problems, then our goal is to intervene earlier to reduce or prevent such difficulties…”

Computer-based interventions designed like video games are more acceptable to families and are proven to improve working memory in childhood cancer survivors with memory difficulties…”

Brain volume and cognitive function in adult survivors of childhood acute lymphoblastic leukemia

The survival rate for childhood acute lymphoblastic leukemia (ALL) is greater than 80%. However, many of these survivors develop long-term chronic health conditions, with a relatively common late effect being neurocognitive dysfunction.
Although neurocognitive impairments have decreased in frequency and severity as treatment has evolved, there is a subset of survivors in the current treatment era that are especially vulnerable to the neurotoxic effects of ALL and its treatment. Additionally, little is known about long-term brain development as survivors mature into adulthood.
A recent study by Zeller et al. compared neurocognitive function and brain volume in 130 adult survivors of childhood ALL to 130 healthy adults matched on age and sex. They identified the caudate as particularly sensitive to the neurotoxic effects of chemotherapy…
In conclusion, neurocognitive late effects in survivors of ALL have decreased in frequency and severity as treatment has evolved. Emerging evidence suggests that there is a subset of survivors in the modern treatment era that are particularly vulnerable to the neurotoxic effects of ALL and its treatment.
The study by Zeller et al. substantially contributes to this notion and suggests that the caudate is particularly vulnerable to the neurotoxic effects of chemotherapy. This study has some limitations to consider but helps inform future research directions. Research is needed to determine the functional consequences of brain volume differences, how ALL and its treatment shapes neurological differences, and why certain individuals are more vulnerable to neurotoxicity…”

 

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