相关实验视频
Updated: Jul 26, 2025

07:42
Nerve Excitability Assessment in Chemotherapy-induced Neurotoxicity
Published on: April 26, 2012
18.3K
异常的中风类症状与oxaliplatin使用
Abram Soliman1, Shaghayegh Habibi1, Constantin A Dasanu2,3
1Department of Internal Medicine, Eisenhower Health, Rancho Mirage, CA, USA.
概括
一种常见的癌症药物奥克萨利普拉丁 (Oxaliplatin) 可能会导致罕见的类似中风的神经系统副作用,包括运动软弱和言语困难. 对于患者和医疗保健提供者来说,意识到这些氧沙毒性至关重要.
科学领域:
- 在瘤学瘤学.
- 神经学 神经学
- 药理学 药理学是指药理学的学科.
背景情况:
- 奥克沙利是治疗各种癌症的主要药物.
- 在oxaliplatin治疗中可能会出现不寻常的副作用.
- 神经毒性是一种已知的,尽管很少见的并发症.
研究的目的:
- 报告一种由氧沙胺诱导的神经毒性病例.
- 突出这些不良事件的临床表现和解决方案.
- 强调认识到氧沙的罕见副作用的重要性.
主要方法:
- 一个74岁的胰腺癌患者的病例报告.
- 在施用氧沙后的神经症状的详细描述.
- 使用Naranjo nomogram进行因果关系的评估.
主要成果:
- 患者经历了严重的运动软弱和语音障碍后,oxaliplatin治疗.
- 症状在停用oxaliplatin后15-20小时内消失.
- 在纳拉尼奥名谱上获得9分的得分表明,氧沙与神经毒性之间存在明确的因果关系.
结论:
- 奥克萨利普拉丁很少会导致类似中风的神经事件.
- 潜在的机制涉及神经元通道的改变.
- 临床医生和患者必须意识到这些罕见的oxaliplatin副作用,同时也考虑恶性瘤相关的高凝血性脑血管事故工作.
相关概念视频
Antiepileptic Drugs: Potassium Channel Activators
218
Ezocgabine or retigabine, an antiepileptic drug of remarkable efficacy, has revolutionized the management of seizures. It is a potassium channel activator, explicitly targeting the family of Q subtype potassium channels. It enhances the transmembrane potassium currents, regulating neuronal excitability. This action stabilizes the resting membrane potential, a pivotal factor in mitigating the hyperexcitability that characterizes epilepsy.
Ezogabine has gained approval as an adjunctive treatment...
Ezogabine has gained approval as an adjunctive treatment...
218
Chemotherapy-Induced Nausea and Vomiting: 5-HT3 Receptor Antagonists
252
5-HT3 receptor antagonists, such as dolasetron, granisetron (Kytril), ondansetron (Zofran), and palonosetron (Axoli), are crucial in managing chemotherapy-induced nausea and vomiting (CINV) and postoperative nausea. These drugs selectively block 5-HT3 receptors in the visceral vagal and spinal afferent nerves, chemoreceptor trigger zone, and the vomiting center. They have a rapid onset of action and can be given as a single dose before chemotherapy. Ondansetron and granisetron, in particular,...
252
Chronic Kidney Disease II: Clinical Manifestations
42
Chronic Kidney Disease (CKD) progressively impairs multiple body systems due to the accumulation of uremic toxins, which disrupt cellular functions across various organs.Neurologic symptomsNeurologic symptoms often arise early in CKD, as uremic toxin buildup drives changes in cognitive and motor functions. Patients frequently experience fatigue, headache, confusion, difficulty concentrating, and, in severe cases, seizures. Peripheral neuropathy commonly manifests as burning sensations in the...
42
Anticholinesterase Agents: Poisoning and Treatment
926
Anticholinesterases, also known as cholinesterase inhibitors, work by blocking the breakdown of acetylcholine, leading to its accumulation in the synaptic cleft. This accumulation indirectly enhances both muscarinic and nicotinic actions. These agents are classified as reversible or irreversible based on their mechanism of action.
Irreversible agents form a strong bond with the cholinesterase enzyme, making it inactive. The breakdown of the phosphorylated enzyme is...
Irreversible agents form a strong bond with the cholinesterase enzyme, making it inactive. The breakdown of the phosphorylated enzyme is...
926
Skeletal Muscle Relaxants: Adverse Effects
402
Skeletal muscle relaxants are widely used for muscle paralysis and relieving pain following any muscle injury or stiffness. However, depending on the drug type, they can have adverse effects that range from mild to severe. Usually, nondepolarizing neuromuscular blockers have minimal side effects. For example, drugs like d-tubocurarine, cisatracurium, and rocuronium cause hypotension, whereas drugs like baclofen, when stopped abruptly, can lead to the recurrence of spastic conditions.
Unlike...
Unlike...
402
Local Anesthetics: Adverse Effects
458
While local anesthetics are generally safe and well-tolerated, they can occasionally cause adverse effects that vary in severity. Local anesthetics can induce toxicity at two distinct levels. They can either produce local effects through direct contact with the neural elements or be absorbed into the bloodstream from the injection site, leading to systemic effects.
Once absorbed into the systemic circulation, local anesthetics can affect the organs that depend on the functioning of sodium...
Once absorbed into the systemic circulation, local anesthetics can affect the organs that depend on the functioning of sodium...
458

