Evidence map›Paper›PMID 41509555›Full record

ArticleIJU case reports2026

Multiple Cranial Neuropathies After Lenvatinib-Pembrolizumab Therapy for Metastatic Renal Cell Carcinoma: A Case Report.

Hideyuki Minagawa, Tomoyuki Kaneko, Keiichi Hokkoku, Ayano Miyashima, Inoue Hazuki, Ono Tenei, Risako Yagi, Kenjiro Kishitani, Kazuki Takei, Tohru Nakagawa

Abstract read
In one paragraph

Article in IJU case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Hideyuki MinagawaDepartment of Urology Teikyo University School of Medicine Tokyo Japan.
Tomoyuki KanekoDepartment of Urology Teikyo University School of Medicine Tokyo Japan.
Keiichi HokkokuDepartment of Neurology Teikyo University School of Medicine Tokyo Japan.
Ayano MiyashimaDepartment of Ophthalmology Teikyo University School of Medicine Tokyo Japan.
Inoue HazukiDepartment of Urology Teikyo University School of Medicine Tokyo Japan.
Ono TeneiDepartment of Urology Teikyo University School of Medicine Tokyo Japan.
Risako YagiDepartment of Urology Teikyo University School of Medicine Tokyo Japan.
Kenjiro KishitaniDepartment of Urology Teikyo University School of Medicine Tokyo Japan.
Kazuki TakeiDepartment of Urology Teikyo University School of Medicine Tokyo Japan.
Tohru NakagawaDepartment of Urology Teikyo University School of Medicine Tokyo Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Multiple cranial neuropathy is a rare manifestation of immune-related adverse events. To date, no cases have been reported during immune checkpoint blockade for metastatic renal cell carcinoma. This report describes a case of multiple cranial neuropathy that developed during lenvatinib and pembrolizumab combination therapy. Case Presentation: A 66-year-old man with metastatic clear cell renal cell carcinoma involving the maxilla received lenvatinib and pembrolizumab. After two months, he developed a rash and facial nerve palsy that resolved with corticosteroids. Pembrolizumab rechallenge later caused diplopia due to multiple cranial neuropathies, which improved after steroid pulse therapy. Two years after treatment initiation, disease control and pembrolizumab maintenance have continued without neurological recurrence. Conclusions: We report a rare case of multiple cranial nerve palsies that developed during lenvatinib-pembrolizumab therapy. Such neuropathies typically occur early, respond to corticosteroids, and require careful monitoring, as retreatment may lead to recurrence or new adverse events.

Indexed as

cranial neuropathyimmune‐related adverse eventlenvatinibpembrolizumabrenal cell carcinoma

Identifiers

PMID41509555
PMCPMC12779414

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.