Vinorelbine neurotoxicity: clinical and neurophysiological findings in 23 patients.

AUTOR(ES)

Pace, A

RESUMO

Vinorelbine (5'-noranhydrovinblastine) is a new semisynthetic antineoplastic vinca alkaloid which interfers with axonal transport, inducing spiralisation of axonal microtubules and resulting in peripheral neurotoxicity. A prospective detailed neurological and electrophysiological evaluation was performed in 23 patients treated with 25 mg vinorelbine a week. All patients developed a sensory-motor distal symmetric axonal neuropathy. The neurotoxicity increased with cumulative vinorelbine doses and peripheral neuropathy was mild or moderate in most patients. After discontinuation of vinorelbine treatment, neuropathic signs and symptoms were partially reversible.

Documentos Relacionados

• Gangliogliomas: clinical, radiological, and histopathological findings in 51 patients.
• Surgical treatment of temporal lobe epilepsy: clinical, radiological, and histopathological findings in 178 patients.
• Ontogenetic development of kainate neurotoxicity: correlates with glutamatergic innervation.
• Occupational lead neurotoxicity: improvement in behavioural effects after reduction of exposure.
• Clinical features and investigative findings in presence of mitral leaflet prolapse. Study of 85 consecutive patients.