"5-Fluorouracil Neurotoxicity – Diagnostic and Clinical Implications"

Robert Wiraszka
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Abstract

The aim of the study is to present the current state of knowledge on the rare side effect of 5-fluorouracil, what is neurotoxicity. Knowledge on this subject comes from a few studies, and many of the suggested mechanisms are still hypothesized. Also imaging diagnostics (MRI) or EEG do not provide certain diagnostic guidelines. Also, causal treatment in some patients has not yet been established. According to the summary of product characteristics, before starting treatment, the concentration of dihydropyridimine dehydrogenase (DPD) should be determined, the deficiency of which may cause serious complications, including fatal ones.
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5-氟尿嘧啶神经毒性-诊断和临床意义
本研究的目的是介绍目前对5-氟尿嘧啶罕见副作用的认识状况,即神经毒性。关于这个问题的知识来自一些研究,许多建议的机制仍然是假设的。此外,成像诊断(MRI)或脑电图不提供一定的诊断指南。此外,一些患者的因果治疗尚未确定。根据产品特性总结,在开始治疗前,应测定二氢吡啶脱氢酶(dihydropyridimine dehydrogenase, DPD)的浓度,缺乏DPD可引起严重并发症,甚至致命。
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