@article{3102585, title = "Richter's transformation as leptomeningeal infiltration in a chronic lymphocytic leukemia patient receiving venetoclax. Could blood-brain barrier be a disease “sanctuary” during venetoclax treatment?", author = "Dimou, M. and Bitsani, A. and Roumelioti, M. and Dimitrakopoulou, A. and Iliakis, T. and Pardalis, V. and Grafakos, I. and Kalyva, S. and Markopoulos, A. and Kyrtsonis, M.-C. and Panayiotidis, P.", journal = "Clinical Case Reports", year = "2021", volume = "9", number = "4", pages = "2249-2253", publisher = "Wiley-Blackwell Publishing Ltd", issn = "2050-0904", doi = "10.1002/ccr3.4002", keywords = "azathioprine; CD20 antigen; CD23 antigen; CD5 antigen; CD79b antigen; chlorambucil; corticosteroid; cyclophosphamide; cyclosporine; cytochrome P450 3A; dexamethasone; fludarabine; ibrutinib; idelalisib; lactate dehydrogenase; methotrexate; petrafocon A HEM larafilcon A; rituximab; venetoclax, adult; Article; blood brain barrier; bone marrow biopsy; carcinomatous meningitis; case report; cell infiltration; cerebrospinal fluid analysis; chromosomal instability; chromosome aberration; chronic lymphatic leukemia; clinical article; cytogenetics; female; gene mutation; human; immunophenotyping; middle aged; nuclear magnetic resonance imaging; Sanger sequencing; splenomegaly", abstract = "Our unique case of Richter's Transformation presenting as leptomeningial infiltration in a CLL patient receiving venetoclax raises questions on whether the drug penetrates the blood-brain barrier and at what extend, especially in reduced doses given for drug-drug interactions. © 2021 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd." }