J Korean Neurol Assoc.  2022 May;40(2):172-175. 10.17340/jkna.2022.2.13.

Transient Mutism Related to Capecitabine-Induced Acute Toxic Leukoencephalopathy

Affiliations
  • 1Department of Neurology, Ewha Womans University Mokdong Hospital, College of Medicine, Ewha Womans University, Seoul, Korea

Abstract

Capecitabine, a precursor of 5-fluorouracil (5-FU), is a well-tolerated and safe chemotherapy that has been used to treat breast, pancreatic, and colorectal cancers. Albeit rare, both 5-FU and capecitbine have been reported to be associated with acute central nervous system toxicity, including cerebellar dysfunction, posterior reversible encephalopathy syndrome, and transient leukoencephalopathies. Here we present a case of 32-year-old female, demonstrating transient mutism related to capecitabine induced acute toxic leukoencephalopathy.

Keyword

Capecitabine; Leukoencephalopathy; Mutism
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