CISPLATIN NEUROPATHY - CLINICAL COURSE AND NEUROPHYSIOLOGICAL FINDINGS

CISPLATIN NEUROPATHY - CLINICAL COURSE AND NEUROPHYSIOLOGICAL FINDINGS
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DOI:
10.1007/bf00839140
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发表时间:
1992-04-01
影响因子:
6
通讯作者:
TONALI, P
TONALI, P
中科院分区:
医学2区
文献类型:
--
作者:
LOMONACO, M;MILONE, M;TONALI, P

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16例患者给予顺铂(CDDP)40 mg/m2,第1-5天,每4周1次,共3个疗程(累积剂量600 mg/m2),于用药前、用药中、用药后1、3、6、9和12个月进行临床和神经生理学检查。9例患者中有4例在第二个疗程(累积剂量400 mg/m2)后首次出现多发性神经病症状。治疗后1个月,9例患者中有1例无症状,5例主诉症状,3例显示多发性神经病的临床和神经生理学体征。CDDP后3个月,所有患者均受到影响。CDDP治疗后6个月内观察到严重程度进展的临床和神经生理学体征。
Sixteen patients treated with cisplatin (CDDP) 40 mg/m2 on days 1-5 every 4 weeks for three courses (cumulative dose 600 mg/m2) were clinically and neurophysiologically tested before, during and 1, 3, 6, 9 and 12 months after CDDP administration. The first symptoms of polyneuropathy occurred in 4 of 9 patients after the second course (cumulative dose 400 mg/m2. One month after treatment 1 of 9 patients was asymptomatic, 5 complained of symptoms and 3 showed clinical and neurophysiological signs of polyneuropathy. Three months after CDDP all patients were affected. Clinical and neurophysiological signs of severity progression were noted up to 6 months after treatment with CDDP.