TY - JOUR
T1 - Misonidazole Neuropathy
T2 - a clinical, electrophysiological, and histological study
AU - Melgaard, B
AU - Hansen, H S
AU - Kamieniecka, Z
AU - Paulson, O B
AU - Pedersen, A G
AU - Tang, X
AU - Trojaborg, Werner
PY - 1982/7
Y1 - 1982/7
N2 - We studied eight patients with carcinoma of the pharynx and larynx (five cases) or lungs (three cases) who, during treatment with the radiosensitizing drug misonidazole, developed peripheral neuropathy dominated by severe sensory symptoms and signs mainly localized to the lower extremities. The symptoms partially subsided within months after cessation of therapy. Electrophysiological and histological findings indicated an axonal neuropathy with loss of large fibers and secondary demyelination. The neurotoxic property of misonidazole limits its therapeutic use.
AB - We studied eight patients with carcinoma of the pharynx and larynx (five cases) or lungs (three cases) who, during treatment with the radiosensitizing drug misonidazole, developed peripheral neuropathy dominated by severe sensory symptoms and signs mainly localized to the lower extremities. The symptoms partially subsided within months after cessation of therapy. Electrophysiological and histological findings indicated an axonal neuropathy with loss of large fibers and secondary demyelination. The neurotoxic property of misonidazole limits its therapeutic use.
KW - Aged
KW - Carcinoma, Squamous Cell/therapy
KW - Electromyography
KW - Female
KW - Humans
KW - Laryngeal Neoplasms/therapy
KW - Lung Neoplasms/therapy
KW - Male
KW - Median Nerve/drug effects
KW - Middle Aged
KW - Misonidazole/administration & dosage
KW - Nerve Fibers, Myelinated/drug effects
KW - Nervous System Diseases/chemically induced
KW - Neural Conduction/drug effects
KW - Neuromuscular Diseases/chemically induced
KW - Nitroimidazoles/adverse effects
KW - Paresthesia/chemically induced
KW - Peroneal Nerve/drug effects
KW - Pharyngeal Neoplasms/therapy
KW - Sensation/drug effects
KW - Sural Nerve/drug effects
KW - Tibial Nerve/drug effects
U2 - 10.1002/ana.410120103
DO - 10.1002/ana.410120103
M3 - Journal article
C2 - 7114817
VL - 12
SP - 10
EP - 17
JO - Annals of Neurology
JF - Annals of Neurology
SN - 0364-5134
IS - 1
ER -