Case Report: Neurological immune-related adverse events with anti-PD-1 based immunotherapy in cervical cancer - Summary - MDSpire

Case Report: Neurological immune-related adverse events with anti-PD-1 based immunotherapy in cervical cancer

  • By

  • Gaia Passarella

  • Sofia Vella

  • Erminia Ferrario

  • Nicoletta Provinciali

  • Diego Luigi Cortinovis

  • Stefania Canova

  • May 14, 2026

  • 0 min

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Objective:

To report a case of neurological immune-related adverse events (irAEs) following anti-PD-1 immunotherapy in a cervical cancer patient, highlighting its significance in the context of limited existing literature.

Key Findings:
  • The patient experienced delayed neurological irAEs, specifically myositis and myelitis, after immunotherapy, emphasizing the need for vigilance.
  • Initial treatment with cemiplimab led to a partial response, but subsequent complications arose during steroid tapering, indicating the unpredictable nature of irAEs.
  • Structured follow-up is crucial for early detection and management of irAEs, particularly in patients receiving anti-PD-1 therapy.
Interpretation:

This case underscores the potential for severe and delayed neurological irAEs in patients receiving anti-PD-1 therapy, highlighting the need for vigilance in monitoring and managing these complications, and suggesting the implementation of structured follow-up protocols.

Limitations:
  • The report is based on a single case, limiting generalizability and introducing potential biases in case reporting.
  • Limited existing literature on neurological irAEs in cervical cancer patients receiving immunotherapy.
Conclusion:

As immunotherapy becomes more prevalent in treating advanced cervical cancer, awareness and management of neurological irAEs are essential for improving patient outcomes, with specific strategies recommended for clinicians.

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