PT - JOURNAL ARTICLE AU - Y Ito AU - Y Arahata AU - Y Goto AU - M Hirayama AU - M Nagamutsu AU - T Yasuda AU - T Yanagi AU - G Sobue TI - Cisplatin neurotoxicity presenting as reversible posterior leukoencephalopathy syndrome. DP - 1998 Mar 01 TA - American Journal of Neuroradiology PG - 415--417 VI - 19 IP - 3 4099 - http://www.ajnr.org/content/19/3/415.short 4100 - http://www.ajnr.org/content/19/3/415.full SO - Am. J. Neuroradiol.1998 Mar 01; 19 AB - Visual disturbance, hypertension, convulsions, and unconsciousness developed in a 70-year-old man after cisplatin chemotherapy and upper-limb amputation for osteosarcoma. MR imaging revealed bilateral reversible abnormalities in the occipital, parietal, and frontal white matter. Clinical and neuroradiologic features corresponded to reversible posterior leukoencephalopathy syndrome (RPLS), which some immunosuppressive and chemotherapeutic drugs have been reported to trigger. Cisplatin may be among these drugs. Our patient also had hypomagnesemia, which may have figured in the pathophysiology.