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Chemotherapy-Induced Neuropathies

Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Chemotherapy-induced neuropathies (CIN) are sensory and/or motor symptoms that can present acutely or chronically.

  • Most neuropathies are peripheral but can also range to more severe s...

DIAGNOSIS

HISTORY

  • Numbness (most commonly symmetric, in a stocking and glove distribution) = early sign

  • Loss of balance and dexterity

  • Distal weakness

  • Tingling

  • Itching

  • Burning pain

  • Muscle cramps

  • Vestibular dys...

TREATMENT

GENERAL MEASURES

  • The goal of therapy is to treat the cancer without creating side effects that are worse than the cancer, so the medical team should regularly assess the patient's process.

  • If ...

ONGOING CARE

PATIENT EDUCATION

  • Patients should be notified before their treatment if their therapy has the possibility for neuropathy and how it could present.

  • Patients should be encouraged at every vis...

REFERENCES

1
Ferrier J, Pereira V, Busserolles J, et al. Emerging trends in understanding chemotherapy-induced peripheral neuropathy. Curr Pain Headache Rep.  2013;17(10):364. {L-End} [View Abstr...

CODES

ICD10

  • T88.8XXA Oth complications of surgical and medical care, NEC, init

  • G62.2 Polyneuropathy due to other toxic agents

ICD9

  • 995.29 Unspecified adverse effect of other drug, medicinal and biological...

CLINICAL PEARLS

  • The goal of treatment is to reduce the tumor load, yet the patient's quality of life should still be a key consideration in continuing treatment.

  • Most patients will first complain of a ...

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