Reversible Posterior Leukoencephalopathy Syndrome Due to Carboplatin and Paclitaxel Therapy

Abstract

Background: Reversible posterior leukoencephalopa-thy syndrome (RPLS) is a clinicoradiologic syndrome characterized by headache, decreased alertness, sei-zures, visual abnormalities, and white matter changes indicative of cerebral edema. Although the pathogen-esis remains poorly understood, several etiological causes have been described. RPLS is a common com-plication of chemotherapeutics because of its toxic ef-fect on the central nervous system. This syndrome is frequently associated with seizures but rarely seen with status epilepticus and periodic lateralized epileptiform discharges (PLEDs).Case Report: We present a case with metastatic lung cancer that developed RPLS after carboplatin and pa-clitaxel therapy. Our case was admitted to the hospital with status epilepticus and her electroencephalography showed PLEDs.Conclusion: It is important to closely monitor blood pressure and electrolyte levels in patients who take chemotherapeutic agents, especially when there is no previous history of hypertension. It should be kept in mind that RPLS is a causative factor of status epilepti-cus and PLEDs