The Melanoma Nursing Initiative – Home › Forums › Immunotherapy › Side-effect management › CNS Disease › Reply To: CNS Disease
January 24, 2018 at 3:50 pm #4620
Expert NurseLisa Kottschade
From my experience I would proceed with additional imaging, to rule out increased edema, radiation necrosis, and/or additional disease. The usual culprit I see is increased edema, s/p radiation coinciding with the start of ICI’s. Alternatively, you could just restart some very low dose dex (i.e 1-2 mg BID) and see if his symptoms resolve spontaneously. If so, then a really slow taper would be in order.