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Chemotherapy-Induced Peripheral Neuropathy

  • Dan Fischer
  • Tariq MalikEmail author
Chapter
  • 51 Downloads

Abstract

Chemotherapy-induced peripheral neuropathy (CIPN) is often defined as a side effect brought on by damage to the peripheral nerves caused by exposure to a chemotherapeutic agent. Chemotherapy-induced peripheral neuropathy (CIPN) is a very common side effect of chemotherapy. Its prevalence varies from 19% to over 85%. The symptoms are mostly from sensory neuropathy that may be accompanied by motor and autonomic dysfunction. With more effective chemotherapy, cancer survival is increasing, but the incidence of chemo-induced neuropathy has emerged as a major problem both for cancer survivors and treating physicians. The pathophysiology is variable and poorly understood. There is no single effective method of preventing CIPN, and the options of treating this condition are very limited. There are six main substance groups that cause damage to peripheral sensory, motor, and autonomic neurons, which result in the development of CIPN: platinum-based antineoplastic agents, vinca alkaloids, epothilones (ixabepilone), taxanes, proteasome inhibitors (bortezomib), and immunomodulatory drugs (thalidomide). Onset of symptoms is variable usually few weeks to months after the therapy is started. Usually its doses are related and can be severe enough for patient to opt out of live saving chemotherapy. With prevalence up to 85%, it is a major medical issue.

Keywords

Chemotherapy-induced peripheral neuropathy Peripheral neuropathy induced by chemotherapy Neuropathy induced by chemotherapy Scrambler therapy for chemotherapy-induced peripheral neuropathy Neuromodulation for peripheral neuropathy 

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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Department of Anesthesiology and Critical CareUniversity of ChicagoChicagoUSA
  2. 2.Department of Anesthesia and Critical CareUniversity of ChicagoChicagoUSA

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