Article ; Online: Ovarian mass Presenting as Paraneoplastic cerebellar degeneration with peripheral neuropathy and anti-Yo antibody.
BMJ case reports
2024 Volume 17, Issue 1
Abstract: Paraneoplastic neurological syndromes (PNS) are a group of disorders with diverse neurological manifestations that are observed in patients with various types of cancer. Any portion of the nervous system can be affected by these syndromes, which are ... ...
Abstract | Paraneoplastic neurological syndromes (PNS) are a group of disorders with diverse neurological manifestations that are observed in patients with various types of cancer. Any portion of the nervous system can be affected by these syndromes, which are brought on by processes other than metastasis, direct tumour spread or chemotherapy side effects. An immune-mediated attack on the cerebellar Purkinje cells and consequent cerebellar symptoms define paraneoplastic cerebellar degeneration(PCD), a subtype of the PNS. Axonal or demyelinating paraneoplastic peripheral neuropathies are both possible. Here, we describe the case of a middle-aged woman who presented with subacute-onset cerebellar symptoms and peripheral neuropathy, was discovered to have a positive anti-Yo antibody, and was later detected to have an ovarian mass. This case illustrates the significance of considering a paraneoplastic aetiology in patients with otherwise unexplained neurological manifestations and initiating an appropriate workup and early treatment for the primary malignancy. |
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MeSH term(s) | Middle Aged ; Female ; Humans ; Paraneoplastic Cerebellar Degeneration/diagnosis ; Paraneoplastic Cerebellar Degeneration/pathology ; Peripheral Nervous System Diseases/etiology ; Nerve Tissue Proteins ; Ovarian Neoplasms/complications |
Chemical Substances | CDR2 protein, human ; Nerve Tissue Proteins |
Language | English |
Publishing date | 2024-01-24 |
Publishing country | England |
Document type | Case Reports ; Journal Article |
ISSN | 1757-790X |
ISSN (online) | 1757-790X |
DOI | 10.1136/bcr-2023-257435 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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