Idiopathic hyperammonemic encephalopathy secondary to gemcitabine-cisplatin treatment

Karlijn Verkerk, Hans-Martin Otten, Alwin D R Huitema

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Idiopathic hyperammonemic encephalopathy is a rare complication of chemotherapy, which has previously mainly been associated with L-asparaginase, cytarabine and 5-FU. We present a case following treatment with gemcitabine-cisplatin in a patient with cholangiocarcinoma. The etiology of chemotherapy-induced idiopathic hyperammonemic encephalopathy remains unclear and existing theories differ per chemotherapeutic agent. Physicians treating patients with gemcitabine-cisplatin should be aware of the possibility of this complication, especially because it is treatable when recognized early.

Original languageEnglish
Pages (from-to)417-419
Number of pages3
JournalCancer Chemotherapy and Pharmacology
Volume90
Issue number5
DOIs
Publication statusPublished - Nov 2022

Keywords

  • Antineoplastic Agents/therapeutic use
  • Asparaginase/therapeutic use
  • Brain Diseases/chemically induced
  • Cisplatin
  • Cisplatin/adverse effects
  • Cytarabine/adverse effects
  • Deoxycytidine/analogs & derivatives
  • Fluorouracil
  • Gemcitabine
  • Humans
  • Hyperammonemia
  • Hyperammonemia/chemically induced
  • Hyperammonemic encephalopathy
  • Neurotoxicity Syndromes/drug therapy

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