Cisplatin neuropathy in brain tumor chemotherapy

  • Sghirlanzoni A. 
  • Silvani A. 
  • Scaioli V. 
  • Pareyson D. 
  • Marchesan R. 
  • Boiardi A. 
Original Articles

Abstract

38 patients with glial brain tumors received 135 mg/m2 cisplatin intravenously every month for 5 courses. Signs and symptoms of peripheral neuropathy were evaluated clinically and electrophysiologically. This approach differs from methods previously reported in that it offers two major advantages: primary brain tumors do not cause paraneoplastic neuropathy; no neurotoxic drugs other than cisplatin were employed. Our study confirmed in this highly specific clinical model the existence of cisplatin peripheral neuropathy: we observed definite clinical signs or symptoms of neuropathy in 80% of patients receiving a cumulative cisplatin dosage of 675 mg/m2; there was a progressive dose-related decrease in SAP amplitudes, expression of a sensory axonopathy or neuronopathy.

Key Words

Cisplatin peripheral nerve diseases chemotherapy 

Sommario

Trentotto soggetti portatori di tumori cerebrali della serie gliale sono stati trattati con 5 cicli mensili di cisplatino, ciascuno di 135 mg/m2, per via endovenosa. Segni e sintomi di neuropatia periferica sono stati valutati clinicamente ed elettrofisiologicamente. Il nostro approccio differisce dai precedenti lavori riportati in letteratura in quanto offre due importanti vantaggi: i tumori cerebrali primitivi non causano mai neuropatie paraneoplastiche; non è stato usato nessun altro farmaco neurotossico all'infuori del cisplatino. Lo studio conferma l'esistenza della neuropatia periferica indotta dal cisplatino anche in questo modello altamente specifico. Abbiamo potuto osservare chiari segni clinici di neuropatia periferica nell'80% dei pazienti trattati con una dose cumulativa di cisplatino di 675 mg/m2. Dal punto di vista eletrofisiologico si è osservata una riduzione progressiva e dose-correlata nell'ampiezza dei SAP, espressione di una neuropatia sensitiva assonale e/o neuronale.

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Copyright information

© Masson Italia Periodici S.r.l. 1992

Authors and Affiliations

  • Sghirlanzoni A. 
    • 1
  • Silvani A. 
    • 2
  • Scaioli V. 
    • 3
  • Pareyson D. 
    • 1
  • Marchesan R. 
    • 4
  • Boiardi A. 
    • 2
  1. 1.III Division di NeurologiaIstituto Nazionale Neurologico “C. Besta”Milano
  2. 2.II Divisione di NeurologiaIstituto Nazionale Neurologico “C. Besta”Milano
  3. 3.Servizio di NeurofisiopatologiaIstituto Nazionale Neurologico “C. Besta”Milano
  4. 4.Direzione Medica FIDIA SpAAbano Terme

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