Multiple cranial neuropathies following zoledronic acid infusion: a relationship? Clinical features and pathogenic discussion concerning a case

The widespread use of bisphosphonates, especially in osteoporosis, has led to a greater number of reports of side effects. We describe for the first time a case of a 75-year-old female patient with a history of indolent sicca syndrome who developed multiple cranial neuropathies after zoledronic acid...

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Veröffentlicht in:Osteoporosis international 2016-08, Vol.27 (8), p.2627-2629
Hauptverfasser: Deshayes, S., Martin Silva, N., Cogez, J., Baldolli, A., Fedrizzi, S., Bienvenu, B., Aouba, A.
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container_end_page 2629
container_issue 8
container_start_page 2627
container_title Osteoporosis international
container_volume 27
creator Deshayes, S.
Martin Silva, N.
Cogez, J.
Baldolli, A.
Fedrizzi, S.
Bienvenu, B.
Aouba, A.
description The widespread use of bisphosphonates, especially in osteoporosis, has led to a greater number of reports of side effects. We describe for the first time a case of a 75-year-old female patient with a history of indolent sicca syndrome who developed multiple cranial neuropathies after zoledronic acid infusion. In this case, the elimination of the main causes of multiple cranial neuropathies, the chronology with zoledronic acid infusion, the absence of secondary complications of the Sjögren’s syndrome, reported cases of similar peripheral nerve injuries with interferon infusions, the spontaneous remission of this multiple cranial neuropathy in parallel with the induced flu-like syndrome, argue for its iatrogenic origin, probably by a great release of inflammatory mediators in this particular background of primary Sjögren’s syndrome.
doi_str_mv 10.1007/s00198-016-3567-x
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source MEDLINE; SpringerNature Journals
subjects Acids
Aged
Bisphosphonates
Case Report
Cranial Nerve Diseases - chemically induced
Cytokines
Cytotoxicity
Diphosphonates - adverse effects
Endocrinology
Female
Fractures
Hepatitis
Humans
Imidazoles - adverse effects
Inflammation
Interferon
Medicine
Medicine & Public Health
Orthopedics
Osteoporosis
Peripheral neuropathy
Remission
Rheumatology
Sjogren's syndrome
Sjogren's Syndrome - drug therapy
Skull
Tumor necrosis factor-TNF
Zoledronic acid
title Multiple cranial neuropathies following zoledronic acid infusion: a relationship? Clinical features and pathogenic discussion concerning a case
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