Posterior Reversible Encephalopathy Syndrome after a Variety of Combined Chemotherapies Containing Bevacizumab for Metastatic Colon Cancer

A 44-year-old woman with advanced metastatic colon cancer received chemotherapies comprising oxaliplatin and capecitabine (XELOX), irinotecan hydrochloride, leucovorin calcium and fluorouracil irinotecan (FOLFIRI)/panitumumab and mFOLFOX6/bevacizumab. Fifteen months later, she presented with the acu...

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Veröffentlicht in:Internal Medicine 2018/08/15, Vol.57(16), pp.2403-2407
Hauptverfasser: Katada, Eiichi, Mitsui, Akira, Sasaki, Shigeru, Uematsu, Norihiko, Anan, Chise
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container_end_page 2407
container_issue 16
container_start_page 2403
container_title Internal Medicine
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creator Katada, Eiichi
Mitsui, Akira
Sasaki, Shigeru
Uematsu, Norihiko
Anan, Chise
description A 44-year-old woman with advanced metastatic colon cancer received chemotherapies comprising oxaliplatin and capecitabine (XELOX), irinotecan hydrochloride, leucovorin calcium and fluorouracil irinotecan (FOLFIRI)/panitumumab and mFOLFOX6/bevacizumab. Fifteen months later, she presented with the acute onset of a headache, drowsiness and seizure with a fever and hypertension. Brain magnetic resonance imaging (MRI) indicated bilateral regions of signal hyperintensity in the white matter with spasms of bilateral cerebral arteries apparent on magnetic resonance angiography. Posterior reversible encephalopathy syndrome (PRES) was diagnosed, and treatments resulted in improvement of the MRI findings, but the patient experienced cerebral infarction and ultimately died of deterioration of cancer on day 26 after the onset of PRES.
doi_str_mv 10.2169/internalmedicine.0284-17
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Posterior reversible encephalopathy syndrome (PRES) was diagnosed, and treatments resulted in improvement of the MRI findings, but the patient experienced cerebral infarction and ultimately died of deterioration of cancer on day 26 after the onset of PRES.</description><identifier>ISSN: 0918-2918</identifier><identifier>EISSN: 1349-7235</identifier><identifier>DOI: 10.2169/internalmedicine.0284-17</identifier><identifier>PMID: 29526944</identifier><language>eng</language><publisher>Japan: The Japanese Society of Internal Medicine</publisher><subject>5-Fluorouracil ; Adult ; Angiography ; Antineoplastic Agents, Immunological - therapeutic use ; Bevacizumab ; Bevacizumab - adverse effects ; Bevacizumab - therapeutic use ; Calcium ; Camptothecin - adverse effects ; Camptothecin - analogs &amp; derivatives ; Camptothecin - therapeutic use ; Capecitabine - adverse effects ; Capecitabine - therapeutic use ; Case Report ; Cerebral infarction ; Chemotherapy ; Colon cancer ; Colonic Neoplasms - drug therapy ; Colorectal cancer ; Drowsiness ; Encephalopathy ; Female ; Fever ; FOLFIRI ; Headache ; Humans ; Internal medicine ; Irinotecan ; Leucovorin - adverse effects ; Leucovorin - therapeutic use ; Magnetic resonance imaging ; Metastases ; Metastasis ; mFOLFOX 6 ; Monoclonal antibodies ; Neoplasm Metastasis - drug therapy ; Neuroimaging ; NMR ; Nuclear magnetic resonance ; Organoplatinum Compounds - adverse effects ; Organoplatinum Compounds - therapeutic use ; Oxaliplatin ; Posterior Leukoencephalopathy Syndrome - drug therapy ; Posterior Leukoencephalopathy Syndrome - etiology ; posterior reversible encephalopathy syndrome ; Resonance ; Spasms ; Substantia alba ; Targeted cancer therapy ; Treatment Outcome ; XELOX</subject><ispartof>Internal Medicine, 2018/08/15, Vol.57(16), pp.2403-2407</ispartof><rights>2018 by The Japanese Society of Internal Medicine</rights><rights>Copyright Japan Science and Technology Agency 2018</rights><rights>Copyright © 2018 by The Japanese Society of Internal Medicine 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c667t-b3fe1dd027ce63ec7ec65db01e74cc614c59c58ee1cdc7b84e190f4aa05b4bc93</citedby><cites>FETCH-LOGICAL-c667t-b3fe1dd027ce63ec7ec65db01e74cc614c59c58ee1cdc7b84e190f4aa05b4bc93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6148172/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6148172/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,1877,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29526944$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Katada, Eiichi</creatorcontrib><creatorcontrib>Mitsui, Akira</creatorcontrib><creatorcontrib>Sasaki, Shigeru</creatorcontrib><creatorcontrib>Uematsu, Norihiko</creatorcontrib><creatorcontrib>Anan, Chise</creatorcontrib><title>Posterior Reversible Encephalopathy Syndrome after a Variety of Combined Chemotherapies Containing Bevacizumab for Metastatic Colon Cancer</title><title>Internal Medicine</title><addtitle>Intern. Med.</addtitle><description>A 44-year-old woman with advanced metastatic colon cancer received chemotherapies comprising oxaliplatin and capecitabine (XELOX), irinotecan hydrochloride, leucovorin calcium and fluorouracil irinotecan (FOLFIRI)/panitumumab and mFOLFOX6/bevacizumab. Fifteen months later, she presented with the acute onset of a headache, drowsiness and seizure with a fever and hypertension. Brain magnetic resonance imaging (MRI) indicated bilateral regions of signal hyperintensity in the white matter with spasms of bilateral cerebral arteries apparent on magnetic resonance angiography. 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Mitsui, Akira ; Sasaki, Shigeru ; Uematsu, Norihiko ; Anan, Chise</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c667t-b3fe1dd027ce63ec7ec65db01e74cc614c59c58ee1cdc7b84e190f4aa05b4bc93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>5-Fluorouracil</topic><topic>Adult</topic><topic>Angiography</topic><topic>Antineoplastic Agents, Immunological - therapeutic use</topic><topic>Bevacizumab</topic><topic>Bevacizumab - adverse effects</topic><topic>Bevacizumab - therapeutic use</topic><topic>Calcium</topic><topic>Camptothecin - adverse effects</topic><topic>Camptothecin - analogs &amp; derivatives</topic><topic>Camptothecin - therapeutic use</topic><topic>Capecitabine - adverse effects</topic><topic>Capecitabine - therapeutic use</topic><topic>Case Report</topic><topic>Cerebral infarction</topic><topic>Chemotherapy</topic><topic>Colon cancer</topic><topic>Colonic Neoplasms - drug therapy</topic><topic>Colorectal cancer</topic><topic>Drowsiness</topic><topic>Encephalopathy</topic><topic>Female</topic><topic>Fever</topic><topic>FOLFIRI</topic><topic>Headache</topic><topic>Humans</topic><topic>Internal medicine</topic><topic>Irinotecan</topic><topic>Leucovorin - adverse effects</topic><topic>Leucovorin - therapeutic use</topic><topic>Magnetic resonance imaging</topic><topic>Metastases</topic><topic>Metastasis</topic><topic>mFOLFOX 6</topic><topic>Monoclonal antibodies</topic><topic>Neoplasm Metastasis - drug therapy</topic><topic>Neuroimaging</topic><topic>NMR</topic><topic>Nuclear magnetic resonance</topic><topic>Organoplatinum Compounds - adverse effects</topic><topic>Organoplatinum Compounds - therapeutic use</topic><topic>Oxaliplatin</topic><topic>Posterior Leukoencephalopathy Syndrome - drug therapy</topic><topic>Posterior Leukoencephalopathy Syndrome - etiology</topic><topic>posterior reversible encephalopathy syndrome</topic><topic>Resonance</topic><topic>Spasms</topic><topic>Substantia alba</topic><topic>Targeted cancer therapy</topic><topic>Treatment Outcome</topic><topic>XELOX</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Katada, Eiichi</creatorcontrib><creatorcontrib>Mitsui, Akira</creatorcontrib><creatorcontrib>Sasaki, Shigeru</creatorcontrib><creatorcontrib>Uematsu, Norihiko</creatorcontrib><creatorcontrib>Anan, Chise</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Internal Medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Katada, Eiichi</au><au>Mitsui, Akira</au><au>Sasaki, Shigeru</au><au>Uematsu, Norihiko</au><au>Anan, Chise</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Posterior Reversible Encephalopathy Syndrome after a Variety of Combined Chemotherapies Containing Bevacizumab for Metastatic Colon Cancer</atitle><jtitle>Internal Medicine</jtitle><addtitle>Intern. 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Posterior reversible encephalopathy syndrome (PRES) was diagnosed, and treatments resulted in improvement of the MRI findings, but the patient experienced cerebral infarction and ultimately died of deterioration of cancer on day 26 after the onset of PRES.</abstract><cop>Japan</cop><pub>The Japanese Society of Internal Medicine</pub><pmid>29526944</pmid><doi>10.2169/internalmedicine.0284-17</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record>
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subjects 5-Fluorouracil
Adult
Angiography
Antineoplastic Agents, Immunological - therapeutic use
Bevacizumab
Bevacizumab - adverse effects
Bevacizumab - therapeutic use
Calcium
Camptothecin - adverse effects
Camptothecin - analogs & derivatives
Camptothecin - therapeutic use
Capecitabine - adverse effects
Capecitabine - therapeutic use
Case Report
Cerebral infarction
Chemotherapy
Colon cancer
Colonic Neoplasms - drug therapy
Colorectal cancer
Drowsiness
Encephalopathy
Female
Fever
FOLFIRI
Headache
Humans
Internal medicine
Irinotecan
Leucovorin - adverse effects
Leucovorin - therapeutic use
Magnetic resonance imaging
Metastases
Metastasis
mFOLFOX 6
Monoclonal antibodies
Neoplasm Metastasis - drug therapy
Neuroimaging
NMR
Nuclear magnetic resonance
Organoplatinum Compounds - adverse effects
Organoplatinum Compounds - therapeutic use
Oxaliplatin
Posterior Leukoencephalopathy Syndrome - drug therapy
Posterior Leukoencephalopathy Syndrome - etiology
posterior reversible encephalopathy syndrome
Resonance
Spasms
Substantia alba
Targeted cancer therapy
Treatment Outcome
XELOX
title Posterior Reversible Encephalopathy Syndrome after a Variety of Combined Chemotherapies Containing Bevacizumab for Metastatic Colon Cancer
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