Revannasiddaiah Swaroop, Bhattacharyya Tapesh
Department of Radiation Therapy and Oncology, Regional Cancer Center, Shimla, India.
BMJ Case Rep. 2011 May 3;2011:bcr0720103178. doi: 10.1136/bcr.07.2010.3178.
Here we describe a scenario of an atypical manifestation of vincristine-induced neurotoxicity, which responded serendipitously to modafinil. Atypical in that this patient had developed a uniocular ptosis, a rare manifestation of vincristine-induced neurotoxicity. The improvement in neurotoxicity after modafinil was started to alleviate morphine-induced sedation was quite noteworthy.
在此,我们描述了一例长春新碱诱导的神经毒性非典型表现的病例,该病例对莫达非尼意外产生了反应。说其非典型是因为该患者出现了单眼上睑下垂,这是长春新碱诱导的神经毒性的一种罕见表现。在开始使用莫达非尼以减轻吗啡诱导的镇静作用后,神经毒性得到改善,这一点相当值得注意。