Imaging findings in cancer therapy-associated neurotoxicity.

Abstract:

:Cancer therapy can cause several neurotoxic syndromes that are associated with distinct findings on cranial imaging. With the use of more aggressive and combined treatment modalities in oncology and prolonged overall patient survival, neurotoxicity has been reported with increasing frequency in patients with brain cancer and malignancies outside the nervous system. Both cranial irradiation and chemotherapy can be harmful to the nervous system, and be associated with acute and chronic nervous system toxicity. Here we discuss features and imaging characteristics of common neurotoxic syndromes, such as cerebrovascular complications, reversible leukoencephalopathy syndrome, progressive white matter injury, and diffuse brain atrophy. Neurologist and oncologists need to be familiar with the pattern, time course, and evolution of both acute and long-term neurologic complications of cancer therapy. Identification of causative agents and appropriate distinction between treatment-related toxicity and tumor-associated complications are critical steps to improve treatment monitoring and overall patient care.

journal_name

Semin Neurol

journal_title

Seminars in neurology

authors

Arrillaga-Romany IC,Dietrich J

doi

10.1055/s-0032-1331817

subject

Has Abstract

pub_date

2012-09-01 00:00:00

pages

476-86

issue

4

eissn

0271-8235

issn

1098-9021

journal_volume

32

pub_type

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