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Capecitabine-induced cerebellar toxicity in a patient with metastatic colorectal cancer
1 Cambridge University Hospitals NHS Foundation Trust, Addenbrookes Hospital
* To whom correspondence should be addressed. E-mail: ioannis.gounaris{at}addenbrookes.nhs.uk.
Introduction. Capecitabine is an oral fluoropyrimidine that was designed to allow selective activation in tumour tissues, thus reducing toxicity. The neurologic toxicity of 5-fluorouracil, the original fluoropyrimidine, including an ataxic cerebellar syndrome is well described. However, only a few case reports exist describing a similar syndrome associated with capecitabine administration. Case Report. We report a case of reversible cerebellar toxicity during chemotherapy with a combination of capecitabine and oxaliplatin. Discussion. Rare fluoropyrimide-related toxicities are increasingly being reported in association with capecitabine. Clinical vigilance is required to ensure appropriate investigation and treatment.
First published on October 15, 2009 |
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