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Low-dose vincristine-associated bilateral vocal cord paralysis
S P Ryan1, S A DelPrete, P W Weinstein
1Carl and Dorothy Bennett Cancer Center, Stamford Hospital, USA.
Background:
Vincristine-associated peripheral neuropathy is a well-described entity. We describe a case of vincristine-induced vocal cord paralysis, which is a rare complication of this drug. We report herein the second case of bilateral vocal cord paralysis in a patient receiving conventional doses of vincristine.
Objective:
To present a case report of vincristine-associated vocal cord paralysis and to review the relevant English language literature on this subject.
Design:
Report and review of the literature.
Setting:
Outpatient community cancer center.
Patient:
A 58-year-old female with a diffuse large cell lymphoma stage IV receiving cyclophosphamide, doxorubicin, vincristine, and prednisone.
Results:
Bilateral vocal cord paralysis occurred in this patient receiving vincristine as part of her chemotherapy regimen. In addition to this case there have been a total of 25 prior reports, which are reviewed in the text.
Conclusion:
The incidence of bilateral vocal cord paralysis in patients receiving vincristine on the usual low-dose schedule is low. Prompt withdrawal of the offending agent results in prompt recovery without untoward long-lasting sequela.
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