Reversible posterior leukoencephalopathy syndrome after bevacizumab/FOLFIRI regimen for metastatic colon cancer

被引:112
作者
Allen, Jeffrey A.
Adlakha, Ashish
Bergethon, Peter R.
机构
[1] Boston Univ, Sch Med, Dept Anat & Neurobiol, Boston, MA 02118 USA
[2] Tufts Univ New England Med Ctr, Dept Neurol, Boston, MA USA
关键词
D O I
10.1001/archneur.63.10.1475
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Objective: To describe a patient with reversible posterior leukoencephalopathy syndrome following the administration of bevacizumab (Avastin), a monoclonal antibody against vascular endothelial growth factor. Design: Case report/literature review. Setting: University hospital. Patient: A 52-year-old man receiving chemotherapy for stage IV rectal carcinoma. Results: Clinical and radiographic evidence consistent with reversible posterior leukoencephalopathy syndrome was found following the administration of irinotecan hydrochloride, leucovorin calcium, and fluorouracil (FOLFIRI) regimen chemotherapy and bevacizumab. Conclusions: Reversible posterior leukoencephalopathy syndrome following treatment with angiogenesis modulators can occur. In addition to raising clinical suspicion in appropriate patients, this report may yield clues to the pathophysiologic underpinnings of reversible posterior leukoencephalopathy syndrome.
引用
收藏
页码:1475 / 1478
页数:4
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