Brain Freeze: Pembrolizumab-Induced Autoimmune Encephalitis in Triple-Negative Breast Cancer
2024

Pembrolizumab-Induced Autoimmune Encephalitis in Triple-Negative Breast Cancer

Sample size: 1 publication Evidence: low

Author Information

Author(s): Muacevic Alexander, Adler John R, Modi Shivani K, Bhimineni Charishma, Rathod Malay, Palaferro Danielle, Dhamankar Minal

Primary Institution: Einstein Medical Center Montgomery

Conclusion

The patient's symptoms of expressive aphasia resolved rapidly after stopping pembrolizumab and starting high-dose steroids.

Supporting Evidence

  • The patient developed expressive aphasia three days after starting pembrolizumab.
  • Comprehensive evaluations ruled out infectious or metastatic causes.
  • Symptoms improved significantly after discontinuing immune checkpoint inhibitors and starting high-dose corticosteroids.

Takeaway

A woman with breast cancer had trouble speaking after starting a new cancer treatment, but she got better quickly after doctors changed her medicine and gave her steroids.

Methodology

The case report details the patient's symptoms, diagnostic evaluations, and treatment plan.

Limitations

The study is based on a single case report, limiting generalizability.

Participant Demographics

41-year-old female with stage IIIc triple-negative breast cancer.

Digital Object Identifier (DOI)

10.7759/cureus.74587

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