Cisplatin neuropathy: clinical course and neurophysiological findings

J Neurol. 1992 Apr;239(4):199-204. doi: 10.1007/BF00839140.

Abstract

Sixteen patients treated with cisplatin (CDDP) 40 mg/m2 on days 1-5 every 4 weeks for three courses (cumulative dose 600 mg/m2) were clinically and neurophysiologically tested before, during and 1, 3, 6, 9 and 12 months after CDDP administration. The first symptoms of polyneuropathy occurred in 4 of 9 patients after the second course (cumulative dose 400 mg/m2). One month after treatment 1 of 9 patients was asymptomatic, 5 complained of symptoms and 3 showed clinical and neurophysiological signs of polyneuropathy. Three months after CDDP all patients were affected. Clinical and neurophysiological signs of severity progression were noted up to 6 months after treatment with CDDP.

MeSH terms

  • Action Potentials / physiology
  • Adult
  • Aged
  • Analysis of Variance
  • Chi-Square Distribution
  • Cisplatin / adverse effects*
  • Electromyography
  • Female
  • Humans
  • Middle Aged
  • Neural Conduction / physiology
  • Peripheral Nervous System Diseases / chemically induced*
  • Peripheral Nervous System Diseases / physiopathology
  • Reaction Time

Substances

  • Cisplatin