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Reversible Posterior Encephalopathy Syndrome Secondary to Sunitinib
Author(s) -
Ricardo Costa,
Rubens Costa,
Rogerio de Souza Costa,
Gilberto Moura de Brito,
Henrique Cartaxo,
Alex Caetano de Barros
Publication year - 2014
Publication title -
case reports in oncological medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.173
H-Index - 7
eISSN - 2090-6714
pISSN - 2090-6706
DOI - 10.1155/2014/952624
Subject(s) - sunitinib , medicine , posterior reversible encephalopathy syndrome , renal cell carcinoma , hypertensive encephalopathy , cerebral edema , edema , vascular endothelial growth factor , oncology , magnetic resonance imaging , vegf receptors , radiology , blood pressure
Reversible posterior leukoencephalopathy syndrome (RPLS) is clinical radiologic condition associated with neurological symptoms and cerebral white matter edema. It has been associated with uncontrolled hypertension, eclampsia, immunosuppressants, and more recently the use of antiangiogenic drugs. Sunitinib is an inhibitor of the vascular endothelial growth factor receptor widely used in the treatment of metastatic renal cell carcinoma (RCC). We report a rare case of RPLS occurring on therapy with sunitinib in a patient with RCC. Our aim is to highlight the importance of considering RPLS as a diagnostic possibility and to hold sunitinib for RCC patients presenting with neurologic symptoms.

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