title: [Cerebral vasculitis associated with gemcitabine].
abstract: Neoadjuvant chemotherapy consisting of cisplatin and gemcitabine was given to a 50-year-old woman suffering from transitional cell carcinoma of the bladder. Whereas the first cycle was administered without major side effects, the patient experienced a generalized tonic-clonic seizure and a prolonged cognitive deficit with the second cycle. Magnetic resonance imaging of the brain was consistent with cerebral vasculitis. The short interval between the application of gemcitabine and the neurological deterioration suggests a causal relationship. Although recent reports have linked this drug with leukoencephalopathy and vasculitis in various localizations, this is the first case of cerebral vasculitis associated with gemcitabine.
authors.affiliation: Urologische Klinik, Diakoniekrankenhaus Friederikenstift gGmbH, Hannover. philipp.schmorl@friederikenstift.de
authors.forename: P
authors.initials: P
authors.lastname: Schmorl
authors.forename: A
authors.initials: A
authors.lastname: Heer-Sonderhoff
authors.forename: R
authors.initials: R
authors.lastname: Vosshenrich
authors.forename: S
authors.initials: S
authors.lastname: Conrad
mesh_terms: D000964:Antimetabolites, Antineoplastic / Q000008:administration & dosage / Q000633:toxicity*; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000008:administration & dosage / Q000633:toxicity*; D002295:Carcinoma, Transitional Cell / Q000188:drug therapy* / Q000473:pathology; D002540:Cerebral Cortex / Q000187:drug effects / Q000473:pathology; D002945:Cisplatin / Q000008:administration & dosage / Q000633:toxicity; D003072:Cognition Disorders / Q000139:chemically induced / Q000175:diagnosis; D003841:Deoxycytidine / Q000008:administration & dosage / Q000031:analogs & derivatives* / Q000633:toxicity; D004830:Epilepsy, Tonic-Clonic / Q000139:chemically induced / Q000175:diagnosis; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D020360:Neoadjuvant Therapy; D009367:Neoplasm Staging; D001749:Urinary Bladder Neoplasms / Q000188:drug therapy* / Q000473:pathology; D020293:Vasculitis, Central Nervous System / Q000139:chemically induced* / Q000175:diagnosis; D000093542:Gemcitabine
chemical_list: D000964:Antimetabolites, Antineoplastic; D003841:Deoxycytidine; D002945:Cisplatin; D000093542:Gemcitabine