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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1998-4-17
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pubmed:abstractText |
Cisplatin is a widely used chemotherapeutic agent implicated in a range of adverse effects affecting the nervous system. Among the others, convulsive encephalopathy is rare and its pathogenesis is unknown. We report an 84-year-old woman with adenocarcinoma of the ovary who developed two fully reversible episodes of non-convulsive encephalopathy, each following a course of cisplatin-based chemotherapy and thus confirming a causal relationship to the agent. The patient presented 7 and 10 days after treatment with acute confusional state, a partial left homonymous hemianopia and a left extinction hemihypesthesia. Brain MRI showed old-standing cerebral microvascular changes and EEG revealed right parieto-occipital periodic lateralized epileptiform discharges over a generalized background activity slowing. This case adds further to the clinical diversity of cisplatin toxicity and, in view of the similarity to a recently defined disorder of posterior leukoencephalopathy, suggests regional endovascular injury rather than a direct cerebral toxicity as the initial event in the evolution of encephalopathy.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jan
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pubmed:issn |
0959-4973
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
9
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
100-4
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:9491799-Adenocarcinoma, Papillary,
pubmed-meshheading:9491799-Aged,
pubmed-meshheading:9491799-Aged, 80 and over,
pubmed-meshheading:9491799-Antineoplastic Agents,
pubmed-meshheading:9491799-Brain Diseases,
pubmed-meshheading:9491799-Cisplatin,
pubmed-meshheading:9491799-Electroencephalography,
pubmed-meshheading:9491799-Female,
pubmed-meshheading:9491799-Humans,
pubmed-meshheading:9491799-Magnetic Resonance Imaging,
pubmed-meshheading:9491799-Ovarian Neoplasms
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pubmed:year |
1998
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pubmed:articleTitle |
Cisplatin-induced non-convulsive encephalopathy.
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pubmed:affiliation |
Department of Oncology, Hadassah University Hospital and Hebrew University-Hadassah Medical School, Jerusalem, Israel.
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pubmed:publicationType |
Journal Article,
Case Reports
|