Korean J Intern Med.  2002 Mar;17(1):73-77.

A Case of Neurotoxicity Following 5-Fluorouracil-based Chemotherapy

Affiliations
  • 1Department of Internal Medicine Korea Cancer Center Hospital, Seoul, Korea.
  • 2Department of Clinical Pathology Korea Cancer Center Hospital, Seoul, Korea.

Abstract

5-Fluorouracil (5-FU) is a commonly used chemotherapeutic agent. However, its neurotoxicity is rare and not well recognized. We report a case of 5-FU neurotoxicity with organic brain syndrome and progression to multifocal leukoencephalopathy in a 44-year-old male patient having malignant gast- rointestinal stromal tumor. 5-FU-induced neurotoxicity should, therefore, be considered as an important differential diagnosis in cancer patients with neurological abnormality and history of chemotherapy.

Keyword

Fluorouracil; Neuorotoxicity syndromes; Leukoencephalopathy, progressive multifocal

MeSH Terms

Adult
Brain/*pathology
Case Report
Electroencephalography
Fluorouracil/*adverse effects/therapeutic use
Gastrointestinal Neoplasms/drug therapy
Human
Leukoencephalopathy, Progressive Multifocal/diagnosis/etiology
Magnetic Resonance Imaging
Male
Neurotoxicity Syndromes/diagnosis/*etiology
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