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Simultaneous isolated bilateral facial palsy : A rare vincristine-associated toxicity.
MedLine Citation:
PMID:  19770526     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
We describe a case of a 15-year-old boy with vincristine-induced simultaneous isolated bilateral facial palsy. The boy presented with superior vena caval syndrome (SVC syndrome), right-sided pleural effusion and anterior mediastinal lymphadenopathy. Histopathological examination of left axillary lymph node was suggestive of lymphoblastic lymphoma. We started chemotherapy with cyclophosphamide, doxorubicin, vincristine and prednisolone. SVC syndrome disappeared completely after the 1st cycle, and he achieved remission after the 3rd cycle of chemotherapy. He noticed that he could not close his eyes. Neurological examination revealed bilateral lower motor neuron facial palsy. Findings from examination of other cranial nerves and peripheral nerves were normal. Results of MRI of brain and cerebrospinal fluid examination were normal. He received 6 mg vincristine before developing toxicity.
Authors:
Supriya Sarkar; Asit Ranjan Deb; Kaushik Saha; Chandra Shekhar Das
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Indian journal of medical sciences     Volume:  63     ISSN:  1998-3654     ISO Abbreviation:  Indian J Med Sci     Publication Date:  2009 Aug 
Date Detail:
Created Date:  2009-09-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0373023     Medline TA:  Indian J Med Sci     Country:  India    
Other Details:
Languages:  eng     Pagination:  355-8     Citation Subset:  IM    
Affiliation:
Department of Chest Medicine, NRS Medical College and Hospital, Kolkata, West Bengal, India.
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