| Literature DB >> 26942162 |
Hee Jung Yi1, Kyung Sook Hong1, Nara Moon1, Soon Sup Chung1, Ryung-Ah Lee1, Kwang Ho Kim1.
Abstract
5-Fluorouracil (5-FU) based chemotherapy has been commonly used to treat metastatic or advanced colon cancer as an adjuvant chemotherapy. Although the side effects of 5-FU such as gastrointestinal problems and neutropenia and thrombocytopenia are common, not many cases of 5-FU related encephalopathy are reported. Hyperammonemic encephalopathy is a rare central nervous system toxicity following 5-FU chemotherapy manifesting as altered mental status with elevated ammonia levels with no radiologic abnormality. We report one case of 5-FU induced hyperammonemic encephalopathy occurring after Folfox4 (oxaliplatin, folinic acid and 5-fluorouracil) chemotherapy in a colon cancer patient who presented with confused mental status soon after the chemotherapy and review the 5-FU related encephalopathy.Entities:
Keywords: 5-Fluorouracil; Colorectal neoplasma; Hyperammonemia; Metabolic brain diseases
Year: 2016 PMID: 26942162 PMCID: PMC4773463 DOI: 10.4174/astr.2016.90.3.179
Source DB: PubMed Journal: Ann Surg Treat Res ISSN: 2288-6575 Impact factor: 1.859