Fatal consequences of a simple mistake: how can a patient be saved from inadvertent intrathecal vincristine?

MeSH terms

• Adult
• Antineoplastic Agents, Phytogenic / administration & dosage
• Antineoplastic Agents, Phytogenic / adverse effects*
• Antineoplastic Combined Chemotherapy Protocols / therapeutic use
• Burkitt Lymphoma / complications
• Burkitt Lymphoma / drug therapy
• Fatal Outcome
• Female
• Humans
• Injections, Spinal
• Magnetic Resonance Imaging
• Medical Errors*
• Vincristine / administration & dosage
• Vincristine / adverse effects*