KMID : 0359720160340010045
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Journal of the Korean Neurological Association 2016 Volume.34 No. 1 p.45 ~ p.48
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Reversible Leukoencephlaopathy Caused by Doxifluridine in a Patient with Gastric Cancer
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¿À¼ºÀÏ:Oh Seong-Il
À¯¿µ¼±:Ryu Young-Sun/±èÈ£¼÷:Kim Ho-Sook/½ÅÀç±¹:Shin Jae-Gook/±è»óÁø:Kim Sang-Jin
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Abstract
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Doxifluridine neurotoxicity is more rare than 5-FU neurotoxicity. We report a case of leukoencephalopathy caused by long-term use of doxifluridine and which was resolved after discontinuation. A 37-year-old woman who had been on doxifluridine for 4 months after gastrectomy presented with dysarthria. Diffusion-weighted MRI imaging revealed multifocal hyperintense lesions in subcortical areas. Her symptoms disappeared after discontinuing doxifluridine, and lesions on follow-up MRI were resolved. These findings suggest that doxifluridine is a plausible cause of reversible leukoencephalopathy.
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KEYWORD
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Doxifluridine, Reversible leukoencephalopathy, Neurotoxicity
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