Ifosfamide encephalopathy and use of methylene blue. A case report of different sequential neurotoxicity

Neurotoxicity is a clinically relevant adverse event observed with the use of ifosfamide. It is usually mild, occasionally severe and seldom fatal. Ifosfamide-induced encephalopathy requires interruption of chemotherapy, intravenous hydration and administration of methylene blue. Less is known about...

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Veröffentlicht in:Tumori 2009-07, Vol.95 (4), p.545-546
Hauptverfasser: Giovanis, Petros, Garna, Antonella, Marcante, Marilisa, Nardi, Katiuscia, Giusto, Mauro
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container_issue 4
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container_title Tumori
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creator Giovanis, Petros
Garna, Antonella
Marcante, Marilisa
Nardi, Katiuscia
Giusto, Mauro
description Neurotoxicity is a clinically relevant adverse event observed with the use of ifosfamide. It is usually mild, occasionally severe and seldom fatal. Ifosfamide-induced encephalopathy requires interruption of chemotherapy, intravenous hydration and administration of methylene blue. Less is known about the efficacy of methylene blue in avoiding a second episode of ifosfamide-induced encephalopathy while maintaining chemotherapy with ifosfamide. We report a case of a different clinical manifestation of ifosfamide-induced encephalopathy after continued ifosfamide use and despite methylene blue in a patient with retroperitoneal sarcoma.
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subjects Antineoplastic Agents, Alkylating - adverse effects
Antineoplastic Combined Chemotherapy Protocols - therapeutic use
Enzyme Inhibitors - therapeutic use
Female
Humans
Ifosfamide - adverse effects
Methylene Blue - therapeutic use
Middle Aged
Neurotoxicity Syndromes - drug therapy
Neurotoxicity Syndromes - etiology
Retroperitoneal Neoplasms - drug therapy
Retroperitoneal Neoplasms - physiopathology
Sarcoma - drug therapy
Sarcoma - physiopathology
title Ifosfamide encephalopathy and use of methylene blue. A case report of different sequential neurotoxicity
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