Capecitabine Induced Multifocal Leukoencephalopathy: Do We Have Always to Switch off the Chemotherapy?

Capecitabine is a well tolerated and safe 5-fluorouracil agent for adjuvant, neoadjuvant chemotherapy or metastatic cases.Neurological side effects require discontinuation of chemotherapy.We report Easter Ornament Tree this unique case of a 50-year-old female, who presented an isolated episode of dysarthria and ataxia under bevacizumab, capecitabine, and oxaliplatin treatment due to Stirrup Straps reversible multifocal leukoencephalopathy that did not recur after readministration of chemotherapy.