To the Editor: Miller and Panosian (May 1 issue)1 report anassociation between artesunate and a post-treatment cerebellarsyndrome in falciparum malaria. As they state, no overt neurotoxicityhas been reported in over a million patients with malaria whowere treated with artemisinin derivatives. We treated two patientswho had undergone splenectomy with prolonged courses of artesunate,artemisinin, or both to achieve parasite clearance (total doses,165 mg per kilogram of body weight and 46 mg per kilogram overperiods of 12 and 11 days, respectively), without neurotoxicityin either.2 Postmortem examination of the brain stem from anotherpatient with . . . [Full Text of this Article]
Si, Y., Li, Q., Xie, L., Bennett, K., Weina, P. J., Mog, S., Johnson, T. O.
(2007). Neurotoxicity and Toxicokinetics of Artelinic Acid Following Repeated Oral Administration in Rats. International Journal of Toxicology
26: 401-410
[Abstract][Full Text]