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Journal of Oncology Pharmacy Practice
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Article

Capecitabine-induced cerebellar toxicity in a patient with metastatic colorectal cancer

Ioannis Gounaris1* and Athar Ahmad2

1 Cambridge University Hospitals NHS Foundation Trust, Addenbrookes Hospital
2 Queen Elizabeth Hospital

* To whom correspondence should be addressed. E-mail: ioannis.gounaris{at}addenbrookes.nhs.uk.


   Abstract

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
Journal of Oncology Pharmacy Practice 2009, doi:10.1177/1078155209349201


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