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Related Experiment Videos

Cisplatin-induced non-convulsive encephalopathy

O Lyass1, A Lossos, A Hubert

  • 1Department of Oncology, Hadassah University Hospital and Hebrew University-Hadassah Medical School, Jerusalem, Israel.

Anti-Cancer Drugs
|March 10, 1998
PubMed
Summary
This summary is machine-generated.

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Cisplatin chemotherapy can cause rare, reversible non-convulsive encephalopathy. This case suggests neurotoxicity may stem from regional endovascular injury, not direct brain damage.

Area of Science:

  • Neuroscience
  • Oncology
  • Pharmacology

Background:

  • Cisplatin is a cornerstone chemotherapy for ovarian cancer.
  • Neurotoxicity is a known adverse effect of cisplatin.
  • The pathogenesis of cisplatin-induced encephalopathy remains unclear.

Observation:

  • An 84-year-old woman with ovarian adenocarcinoma experienced two episodes of reversible non-convulsive encephalopathy.
  • Symptoms included acute confusional state, homonymous hemianopia, and hemihypesthesia.
  • Neurological events occurred 7-10 days post-cisplatin chemotherapy.

Findings:

  • Brain MRI revealed pre-existing cerebral microvascular changes.
  • EEG showed periodic lateralized epileptiform discharges and background slowing.

Related Experiment Videos

  • The temporal association confirmed cisplatin as the likely causative agent.
  • Implications:

    • This case expands the known spectrum of cisplatin neurotoxicity.
    • The presentation suggests posterior reversible encephalopathy syndrome (PRES)-like features.
    • Findings support a hypothesis of cisplatin-induced regional endovascular injury as the primary mechanism.