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Original Research

RMJ. 2023; 48(1): 179-184

Total Neuropathy Scale Pediatric Vincristine to detect vincristine induced peripheral neuropathy in children with Acute Lymphoblastic Leukemia

Prastiya Indra Gunawan, Kartika Hardiyani, I Dewa Gede Ugrasena.


Objective: To analyze the Total Neuropathy Scale Pediatric Vincristine (TNS-PV) score as a vincristine induced peripheral neuropathy (VIPN) diagnostic tool.
Methodology: This observational analytic study was conducted in Outpatient Pediatric Hematology Oncology Dr. Soetomo Hospital. The inclusion criteria were Acute Lymphoblastic Leukemia (ALL) children aged 4-18 years that had undergone chemotherapy treatment, received a cumulative dose of vincristine >12 mg/m2, had no muscle weakness and signed informed consent. The TNS-PV instrument were used to assess VIPN and nerve conduction studies (NCS) was used as the gold standard.
Results: A total of 54 children were enrolled, two refused to sign the informed consent. About 60% were male children, 76.9% aged

Key words: Acute Lymphoblastic Leukemia, total neuropathy scale pediatric visncristine, vincristine induced peripheral neuropathy.

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