Lee Eudocia Quant, Arrillaga-Romany Isabel C, Wen Patrick Y
Center for Neuro-oncology, Dana-Farber Cancer Institute, Boston, Massachusetts 02115, USA.
Continuum (Minneap Minn). 2012 Apr;18(2):355-65. doi: 10.1212/01.CON.0000413663.42798.64.
The purpose of this article is to review neurologic complications associated with systemic anticancer therapies.
Although neurologic complications from traditional chemotherapies are well described, most neurologists are less familiar with complications from agents that target specific pathways or receptors. This article also reviews the most common neurologic adverse effects associated with newer targeted agents.
Patients with cancer are living longer because of earlier diagnoses and remarkable improvements in treatments. Unfortunately, both traditional chemotherapies and newer targeted agents are known to cause neurologic symptoms that can impact quality of life and play a role in limiting potential treatments. Acute, subacute, and chronic syndromes may affect the central or peripheral nervous system. Since treatments for therapy-induced neurotoxicity are limited, awareness of common neurologic complications is important to prevent permanent damage.
本文旨在综述与全身抗癌治疗相关的神经系统并发症。
虽然传统化疗的神经系统并发症已有详尽描述,但大多数神经科医生对靶向特定通路或受体药物的并发症了解较少。本文还综述了与新型靶向药物相关的最常见神经系统不良反应。
由于早期诊断和治疗的显著改善,癌症患者的生存期延长。不幸的是,传统化疗和新型靶向药物都已知会引起神经系统症状,这些症状会影响生活质量,并在限制潜在治疗方面发挥作用。急性、亚急性和慢性综合征可能影响中枢或周围神经系统。由于治疗诱导性神经毒性的治疗方法有限,了解常见的神经系统并发症对于预防永久性损伤很重要。