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卡铂和紫杉醇方案治疗肺癌后出现的可逆性后部白质脑病综合征

Reversible posterior leukoencephalopathy syndrome after carboplatin and paclitaxel regimen for lung cancer.

作者信息

Imai Hisao, Okuno Nozomi, Ishihara Shinichi, Nakano Sachiko, Higuchi Seiichi, Arai Tadashi, Tokunaga Mari, Kobayashi Hiroyuki, Arai Taidoh, Mori Masatomo

机构信息

Department of Internal Medicine, Isesaki Municipal Hospital, Japan.

出版信息

Intern Med. 2012;51(8):911-5. doi: 10.2169/internalmedicine.51.6723. Epub 2012 Apr 15.

Abstract

Reversible posterior leukoencephalopathy syndrome (RPLS) is uncommon neurological syndrome that is characterized by specific clinical and radiologic findings. Previous reported associations of RPLS include hypertension, eclampsia, renal impairment and drugs. Prompt diagnosis and therapy is critical to ensure resolution of the neurological disability. Some cases have been reported in association with the increased use of antineoplastic agents in cancer patients. We report the case of a 62-year-old man who was diagnosed with RPLS after receiving carboplatin and paclitaxel chemotherapy for lung cancer. This case appears to be the first recognized association of RPLS with this regimen.

摘要

可逆性后部白质脑病综合征(RPLS)是一种罕见的神经综合征,其特征为特定的临床和影像学表现。既往报道的RPLS相关因素包括高血压、子痫、肾功能损害和药物。及时诊断和治疗对于确保神经功能障碍的缓解至关重要。已有一些病例报道与癌症患者使用抗肿瘤药物增加有关。我们报告一例62岁男性患者,其在接受卡铂和紫杉醇化疗治疗肺癌后被诊断为RPLS。该病例似乎是首次确认RPLS与该治疗方案有关。

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