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Updated: Aug 9, 2026

Nerve Excitability Assessment in Chemotherapy-induced Neurotoxicity
Published on: April 26, 2012
Fatal peripheral neuropathy following FLA chemotherapy
W L Osborne1, T L Holyoake, I G McQuaker
1Bone Marrow Transplant Unit and Department of Haematology, Glasgow Royal Infirmary, Glasgow, UK.
Abstract:
We discuss a case with significant progressive peripheral neurological deterioration following administration of both fludarabine and cytarabine as part of the FLA (fludarabine and cytarabine) regime. Of particular interest is that toxicity only occurred during the second course of FLA and sixth course of Ara-C containing chemotherapy. At this point, a new antifungal agent had been commenced, suggesting a possible drug interaction enhancing the risk of known neurological toxicity with this regime.
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