Case Report

Atypical Reversible Leucoencephalopathy Syndrome after Bevacizumab/Folfox Regimen for Metastatic Colon Cancer

Table 2


AuthorsPatient
(Age, sex)
LocalizationChemotherapySymptomsMRITreatmentOutcomes

Matsunaga et al., 2012 [30]43 WMetastatic sigmoid cancer Modified Folfox 6Nausea, headache, disturbed consciousness, visual disturbance, seizures
Status epilepticus
hypertension
Bilateral occipital lesions on MRINo medication for hypertensionNo neurologic sequelae
MRI brain resolved
40 days later

Nagata et al., 2009 [31]35 WMetastatic sigmoid Folfox regimenConvulsions, headache, and visual disturbance
hypertension
Bilateral lesions on posterior lobes on MRIAntihypertensive therapy and anticonvulsive therapyComplete resolution of symptoms
MRI changes resolved
30 days later

Sharief and Perry, 2009 [32]59 MMetastatic colon cancerFolfox 6 regimenStatus epilepticus
BP: 156/98
Bilateral frontal cortical lesion on MRI
noncontrast CT scan of the head was normal
Seizure medicationsComplete recovery in 24ā€‰h
MRI brain resolved
two weeks later

Pinedo et al., 2007 [33]62 WMetastatic adenocarcinoma of rectumFolfox + BevacizumabSeizures,
altered mental status,
bilateral lower extremity weakness
BP: 190/88
Lesions on posterior lobes on MRI DiazepamComplete resolution on MRI 10 days later

Skelton et al., 2007 [34]1 FMetastatic adenocarcinoma of rectumFolfoxSeizures
Altered mental status
Hyperintensity in the white matter of the posterior hemispheresā€‰Resolution of lesion on repeated MRI