Fatal misonidazole-induced encephalopathy: an RTOG case report. Cancer 1982 Feb 01;49(3):423-6
Date
02/01/1982Pubmed ID
7059905DOI
10.1002/1097-0142(19820201)49:3<423::aid-cncr2820490305>3.0.co;2-lScopus ID
2-s2.0-0020070062 (requires institutional sign-in at Scopus site) 10 CitationsAbstract
A case of fatal encephalopathy following administration of misonidazole (MISO) is reported. Anorexia and dehydration preceded signs of encephalopathy after a cumulative dose of 18 g (11 g/m2) of MISO in five weekly doses. Serum MISO levels four hours after weekly administrations were markedly elevated. Postmortem examination revealed focal cortical neuronal necrosis and hemorrhage with focal demyelination. The possible relationship of dehydration or altered drug metabolism to the development of MISO central nervous system toxicity is noted.
Author List
Kun LE, Ho KC, Moulder JEMESH terms used to index this publication - Major topics in bold
Brain DiseasesCarcinoma, Squamous Cell
Dose-Response Relationship, Drug
Female
Humans
Middle Aged
Misonidazole
Nitroimidazoles
Palatal Neoplasms
Tongue Neoplasms