101
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Paraneoplastic opsoclonus and cerebellar ataxia related to anti-Ma2 antibody: a case report. J Neurol 2016; 263:405-406. [DOI: 10.1007/s00415-015-8012-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2015] [Revised: 12/24/2015] [Accepted: 12/27/2015] [Indexed: 10/22/2022]
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102
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Legouy C, Zeghoudi AC, Taifas I, Le Stanc E, Honnorat J, Pico F. Cerebellar vermis hypermetabolism in opsoclonus myoclonus without onconeural antibodies. NEUROLOGY-NEUROIMMUNOLOGY & NEUROINFLAMMATION 2015; 2:e168. [PMID: 26568969 PMCID: PMC4630681 DOI: 10.1212/nxi.0000000000000168] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/22/2014] [Accepted: 09/14/2015] [Indexed: 11/15/2022]
Affiliation(s)
- Camille Legouy
- Neurology Department and Stroke Center (C.L., A.-C.Z., I.T., F.P.), Versailles Mignot Hospital, Versailles; Versailles Saint Quentin en Yvelines University (C.L., A.-C.Z., I.T., F.P.); Nuclear Medicine Department (E.L.S.), Foch Hospital, Suresnes; French Reference Center on Paraneoplastic Neurological Syndrome (J.H.), Department of Neuro-oncology, Hospices Civils de Lyon, Hôpital Neurologique, Bron; Lyon Neuroscience Research Center INSERM U1028/CNRS UMR 5292 (J.H.), Lyon; and Université de Lyon-Université Claude Bernard Lyon 1 (J.H.), France
| | - Anne-Celine Zeghoudi
- Neurology Department and Stroke Center (C.L., A.-C.Z., I.T., F.P.), Versailles Mignot Hospital, Versailles; Versailles Saint Quentin en Yvelines University (C.L., A.-C.Z., I.T., F.P.); Nuclear Medicine Department (E.L.S.), Foch Hospital, Suresnes; French Reference Center on Paraneoplastic Neurological Syndrome (J.H.), Department of Neuro-oncology, Hospices Civils de Lyon, Hôpital Neurologique, Bron; Lyon Neuroscience Research Center INSERM U1028/CNRS UMR 5292 (J.H.), Lyon; and Université de Lyon-Université Claude Bernard Lyon 1 (J.H.), France
| | - Irina Taifas
- Neurology Department and Stroke Center (C.L., A.-C.Z., I.T., F.P.), Versailles Mignot Hospital, Versailles; Versailles Saint Quentin en Yvelines University (C.L., A.-C.Z., I.T., F.P.); Nuclear Medicine Department (E.L.S.), Foch Hospital, Suresnes; French Reference Center on Paraneoplastic Neurological Syndrome (J.H.), Department of Neuro-oncology, Hospices Civils de Lyon, Hôpital Neurologique, Bron; Lyon Neuroscience Research Center INSERM U1028/CNRS UMR 5292 (J.H.), Lyon; and Université de Lyon-Université Claude Bernard Lyon 1 (J.H.), France
| | - Elise Le Stanc
- Neurology Department and Stroke Center (C.L., A.-C.Z., I.T., F.P.), Versailles Mignot Hospital, Versailles; Versailles Saint Quentin en Yvelines University (C.L., A.-C.Z., I.T., F.P.); Nuclear Medicine Department (E.L.S.), Foch Hospital, Suresnes; French Reference Center on Paraneoplastic Neurological Syndrome (J.H.), Department of Neuro-oncology, Hospices Civils de Lyon, Hôpital Neurologique, Bron; Lyon Neuroscience Research Center INSERM U1028/CNRS UMR 5292 (J.H.), Lyon; and Université de Lyon-Université Claude Bernard Lyon 1 (J.H.), France
| | - Jerome Honnorat
- Neurology Department and Stroke Center (C.L., A.-C.Z., I.T., F.P.), Versailles Mignot Hospital, Versailles; Versailles Saint Quentin en Yvelines University (C.L., A.-C.Z., I.T., F.P.); Nuclear Medicine Department (E.L.S.), Foch Hospital, Suresnes; French Reference Center on Paraneoplastic Neurological Syndrome (J.H.), Department of Neuro-oncology, Hospices Civils de Lyon, Hôpital Neurologique, Bron; Lyon Neuroscience Research Center INSERM U1028/CNRS UMR 5292 (J.H.), Lyon; and Université de Lyon-Université Claude Bernard Lyon 1 (J.H.), France
| | - Fernando Pico
- Neurology Department and Stroke Center (C.L., A.-C.Z., I.T., F.P.), Versailles Mignot Hospital, Versailles; Versailles Saint Quentin en Yvelines University (C.L., A.-C.Z., I.T., F.P.); Nuclear Medicine Department (E.L.S.), Foch Hospital, Suresnes; French Reference Center on Paraneoplastic Neurological Syndrome (J.H.), Department of Neuro-oncology, Hospices Civils de Lyon, Hôpital Neurologique, Bron; Lyon Neuroscience Research Center INSERM U1028/CNRS UMR 5292 (J.H.), Lyon; and Université de Lyon-Université Claude Bernard Lyon 1 (J.H.), France
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103
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León Ruiz M, Benito-León J, García-Soldevilla MA, Rubio-Pérez L, Parra Santiago A, Lozano García-Caro LA, Izquierdo Esteban L, Hernández Martínez AC, González Estecha A, García-Albea Ristol E. Innovative and effective immunosuppressive bitherapy for an unusual paraneoplastic opsoclonus-myoclonus-ataxia syndrome of the adult. Neurologia 2015; 32:122-125. [PMID: 26059806 DOI: 10.1016/j.nrl.2015.02.005] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2014] [Revised: 01/29/2015] [Accepted: 02/06/2015] [Indexed: 11/18/2022] Open
Affiliation(s)
- M León Ruiz
- Servicio de Neurología, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Madrid, España.
| | - J Benito-León
- Servicio de Neurología, Hospital Universitario 12 de Octubre, Madrid, España; Departamento de Medicina, Facultad de Medicina, Universidad Complutense de Madrid, Madrid, España; Centro de Investigación Biomédica en Red sobre Enfermedades Neurodegenerativas (CIBERNED), Madrid, España
| | - M A García-Soldevilla
- Servicio de Neurología, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Madrid, España
| | - L Rubio-Pérez
- Servicio de Neurología, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Madrid, España
| | - A Parra Santiago
- Servicio de Neurología, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Madrid, España
| | - L A Lozano García-Caro
- Servicio de Neurología, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Madrid, España
| | - L Izquierdo Esteban
- Servicio de Neurología, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Madrid, España
| | | | - A González Estecha
- Servicio de Anatomía Patológica, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Madrid, España
| | - E García-Albea Ristol
- Servicio de Neurología, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Madrid, España; Departamento de Medicina, Facultad de Medicina, Universidad de Alcalá, Alcalá de Henares, Madrid, España
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104
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Karasaki T, Tanaka M. Opsoclonus-myoclonus syndrome associated with non-small cell lung cancer. Asian Cardiovasc Thorac Ann 2015; 23:1113-5. [PMID: 26038602 DOI: 10.1177/0218492315587994] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
A 68-year-old man developed progressive vertigo, saccadic eye movements, and tremors. Computed tomography showed multiple lung nodules. Surgery was performed and the pathological diagnosis was large cell neuroendocrine carcinoma in the left upper lobe with ipsilobar metastases, and adenocarcinoma in the left lower lobe. The neurological symptoms resolved dramatically after complete resection of the tumors. Opsoclonus-myoclonus syndrome associated with non-small-cell lung carcinoma is extremely rare. Surgery should not be delayed if a complete resection is expected.
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Affiliation(s)
- Takahiro Karasaki
- Department of Thoracic Surgery, JR Tokyo General Hospital, Tokyo, Japan
| | - Makoto Tanaka
- Department of Thoracic Surgery, JR Tokyo General Hospital, Tokyo, Japan
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105
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Opsoclonus-myoclonus syndrome in a patient with an anaplastic oligoastrocytoma. J Neurooncol 2015; 123:315-6. [PMID: 25864100 DOI: 10.1007/s11060-015-1783-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2015] [Accepted: 04/06/2015] [Indexed: 10/23/2022]
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106
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Verma R, Kumar S, Biyani S, Singh A. Opsoclonus - Myoclonus syndrome induced by phenytoin intoxication. J Neurosci Rural Pract 2014; 5:S109-10. [PMID: 25540528 PMCID: PMC4271371 DOI: 10.4103/0976-3147.145254] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- Rajesh Verma
- Department of Neurology, King George Medical University, Lucknow, Uttar Pradesh, India
| | - Sanjeev Kumar
- Department of Neurology, King George Medical University, Lucknow, Uttar Pradesh, India
| | - Sumant Biyani
- Department of Neurology, King George Medical University, Lucknow, Uttar Pradesh, India
| | - Anurag Singh
- Department of Neurology, King George Medical University, Lucknow, Uttar Pradesh, India
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107
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Tan AH, Linn K, Sam IC, Tan CT, Lim SY. Opsoclonus-myoclonus-ataxia syndrome associated with dengue virus infection. Parkinsonism Relat Disord 2014; 21:160-1. [PMID: 25443556 DOI: 10.1016/j.parkreldis.2014.11.009] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/04/2014] [Accepted: 11/10/2014] [Indexed: 11/24/2022]
Affiliation(s)
- Ai Huey Tan
- Division of Neurology and the Mah Pooi Soo & Tan Chin Nam Centre for Parkinson's & Related Disorders, University of Malaya, Kuala Lumpur, Malaysia
| | - Kyaw Linn
- Pediatric Neurology Unit, Yangon Children's Hospital, Yangon, Myanmar
| | - I-Ching Sam
- Department of Medical Microbiology, University of Malaya, Kuala Lumpur, Malaysia
| | - Chong Tin Tan
- Division of Neurology and the Mah Pooi Soo & Tan Chin Nam Centre for Parkinson's & Related Disorders, University of Malaya, Kuala Lumpur, Malaysia
| | - Shen-Yang Lim
- Division of Neurology and the Mah Pooi Soo & Tan Chin Nam Centre for Parkinson's & Related Disorders, University of Malaya, Kuala Lumpur, Malaysia.
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108
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Tan AH, Linn K, Ramli NM, Hlaing CS, Aye AMM, Sam IC, Ng CG, Goh KJ, Tan CT, Lim SY. Opsoclonus-myoclonus-ataxia syndrome associated with dengue virus infection. Parkinsonism Relat Disord 2014; 20:1309-10. [DOI: 10.1016/j.parkreldis.2014.09.002] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/13/2014] [Revised: 08/28/2014] [Accepted: 09/01/2014] [Indexed: 11/25/2022]
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109
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Kang BH, Kim JI. Opsoclonus-myoclonus syndrome associated with mumps virus infection. J Clin Neurol 2014; 10:272-5. [PMID: 25045383 PMCID: PMC4101107 DOI: 10.3988/jcn.2014.10.3.272] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2013] [Revised: 05/22/2013] [Accepted: 05/23/2013] [Indexed: 11/17/2022] Open
Abstract
Background Opsoclonus-myoclonus syndrome (OMS) is a rare neurological disorder that is characterized by involuntary eye movements and myoclonus. OMS exhibits various etiologies, including paraneoplastic, parainfectious, toxic-metabolic, and idiopathic causes. The exact immunopathogenesis and pathophysiology of OMS are uncertain. Case Report We report the case of a 19-year-old male who developed opsoclonus and myoclonus several days after a flu-like illness. Serological tests revealed acute mumps infection. The findings of cerebrospinal fluid examinations and brain magnetic resonance imaging were normal. During the early phase of the illness, he suffered from opsoclonus and myoclonus that was so severe as to cause acute renal failure due to rhabdomyolysis. After therapies including intravenous immunoglobulin, the patient gradually improved and had fully recovered 2 months later. Conclusions This is the first report of OMS associated with mumps infection in Korea. Mumps infection should be considered in patients with OMS.
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Affiliation(s)
- Bong-Hui Kang
- Department of Neurology, Dankook University Hospital, Dankook University College of Medicine, Cheonan, Korea
| | - Jae-Il Kim
- Department of Neurology, Dankook University Hospital, Dankook University College of Medicine, Cheonan, Korea. ; Department of Kinesiologic Medical Science, Graduate School, Dankook University, Cheonan, Korea
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110
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Opsoclonus-myoclonus syndrome attributable to West Nile encephalitis: a case report. J Med Case Rep 2014; 8:232. [PMID: 24968889 PMCID: PMC4088362 DOI: 10.1186/1752-1947-8-232] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2014] [Accepted: 05/12/2014] [Indexed: 11/23/2022] Open
Abstract
Introduction Opsoclonus-myoclonus syndrome is a very rare neurological disorder associated with some viral infections and exceptionally with the West Nile virus. Case presentation A 57-year-old Caucasian woman presented with fever, dizziness, balance difficulties, vomiting, dancing eye, altered speech, tremor, generalized myoclonus and failure to rise or stand. Our objective is to describe a patient with West Nile infection, which was identified both in her serum and cerebrospinal fluid and was associated with encephalitis and opsoclonus-myoclonus-ataxia syndrome. Conclusions Opsoclonus-myoclonus-ataxia syndrome continued for 4 weeks after onset, when she died. There was no evidence for any other etiology responsible for her opsoclonus-myoclonus syndrome. Her opsoclonus-myoclonus syndrome appeared associated with West Nile encephalitis and had an unfavorable evolution despite treatment.
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111
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Belcastro V, Piola M, Binda S, Santoro D, Rezzonico M, Arnaboldi M. Opsoclonus–myoclonus syndrome associated with human herpes virus-6 rhomboencephalitis. J Neurol Sci 2014; 341:165-6. [DOI: 10.1016/j.jns.2014.04.013] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2014] [Revised: 04/07/2014] [Accepted: 04/09/2014] [Indexed: 11/26/2022]
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112
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Sharma C, Acharya M, Kumawat BL, Kochar A. 'Dancing eyes, dancing feet syndrome' in small cell lung carcinoma. BMJ Case Rep 2014; 2014:bcr-2014-203926. [PMID: 24759364 DOI: 10.1136/bcr-2014-203926] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
A 60-year-old man presented with a 25-day history of acute onset instability of gait, tremulousness of limbs and involuntary eye movements. Examination revealed presence of opsoclonus, myoclonus and ataxia, without any loss of motor power in the limbs. Prompt investigations were directed towards identifying an underlying malignancy which is often associated with this type of clinical scenario. CT of the brain was normal and cerebrospinal fluid examination showed lymphocytic pleocytosis. A cavitatory lesion was found in the right lung base on the high-resolution CT of the chest and histopathological examination of this lung mass showed small cell lung carcinoma. The patient was managed symptomatically with levetiracetam and baclofen and referred to oncology department for resection of the lung mass.
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Affiliation(s)
- Chandramohan Sharma
- Department of Neurology, Sawai Mansingh Medical College and Hospital, Jaipur, Rajasthan, India
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113
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Lino AMM, Spera RR, de Campos FPF, Freitas CHDA, Garcia MRT, Lopes LDC, Prokopowitsch AS. Adult-onset opsoclonus-myoclonus-ataxia syndrome as a manifestation of brazilian lyme disease-like syndrome: a case report and review of literature. AUTOPSY AND CASE REPORTS 2014; 4:29-37. [PMID: 28652990 PMCID: PMC5470562 DOI: 10.4322/acr.2014.005] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2013] [Accepted: 03/09/2014] [Indexed: 11/23/2022] Open
Abstract
Described in 1962, the opsoclonus-myoclonus-ataxia syndrome (OMAS) is a rare, neurologically debilitating disorder with distinct characteristics that may begin in childhood or adult life. Although many cases remain without etiological diagnosis, others are related to neoplasms and infectious diseases. We report a 41-year-old previously healthy male with an 8-day history of headache, vertigo, nausea, vomiting, and nystagmus. After a normal brain computed tomography and lymphocytic pleocytosis in cerebral spinal fluid (CSF), intravenous acyclovir therapy was initiated in the emergency room. On the third day of hospitalization, the diagnosis of OMAS was made based on the presence of chaotic and irregular eye movements, dysarthric speech, gait instability, generalized tremor, and myoclonic jerks. In the face of his neurological worsening, ampicillin followed by nonspecific immunotherapy (methylprednisolone and intravenous immunoglobulin) was prescribed, with mild clinical improvement. After a thorough laboratory workup, the definite diagnosis of neuroborreliosis was established and ceftriaxone (4 g/daily/3 wks) and doxycycline (200 mg/day/2 mo) was administered. Toward the end of the ceftriaxone regimen, the neurologic signs substantially improved. We believe this to be the first case description of OMAS as clinical presentation of Brazilian Lyme disease-like syndrome (Baggio-Yoshinari syndrome).
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Affiliation(s)
- Angelina Maria Martins Lino
- Department of Neurology - Hospital das Clínicas - Faculdade de Medicina - Universidade de São Paulo, São Paulo/SP - Brazil.,Department of Internal Medicine - Hospital Universitário - Universidade de São Paulo, São Paulo/SP - Brazil
| | - Raphael Ribeiro Spera
- Department of Neurology - Hospital das Clínicas - Faculdade de Medicina - Universidade de São Paulo, São Paulo/SP - Brazil
| | | | | | | | - Leonardo da Costa Lopes
- Department of Internal Medicine - Hospital Universitário - Universidade de São Paulo, São Paulo/SP - Brazil
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114
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Sioka C, Fotopoulos A, Kyritsis AP. Paraneoplastic immune-mediated neurological effects of systemic cancers. Expert Rev Clin Immunol 2014; 10:621-30. [PMID: 24665890 DOI: 10.1586/1744666x.2014.901151] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
Cancer patients may develop paraneoplastic neurological conditions associated with autoantibodies directed against neural or neuromuscular tissues. These syndromes are frequently manifested in advance of the cancer presentation by several months or years necessitating a detailed and expensive investigation to search for the presence of a malignancy. In such cases additional assistance may be obtained by the early employment of whole body 18F flurodeoxyglucose positron emission tomography as a cancer screening imaging procedure for early cancer diagnosis and potential therapy. Effective therapy of the primary cancer consists the best current therapy for a given paraneoplastic syndrome. However, other forms of immune modulation, such as plasma exchange, intravenous gamma globulin, other immune therapies and symptomatic treatment for certain PNS may have additional benefit.
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Affiliation(s)
- Chrissa Sioka
- Neurosurgical Research Institute, University of Ioannina, Ioannina, Greece
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115
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Hoque R, DelRosso L. Paraneoplastic overlap syndrome in non-small squamous cell lung carcinoma. BMJ Case Rep 2014; 2014:bcr-2013-201571. [PMID: 24667991 DOI: 10.1136/bcr-2013-201571] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
This is a case of paraneoplastic overlap of limbic encephalitis and opsoclonus myoclonus in a patient with non-small squamous cell lung carcinoma.
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Affiliation(s)
- Romy Hoque
- Department of Neurology, Louisiana State University School of Medicine, Shreveport, Louisiana, USA
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116
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Day GS, Benseler SM. The rapidly expanding world of rapidly progressive encephalopathy. Ann Neurol 2014; 75:334-6. [DOI: 10.1002/ana.24010] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Affiliation(s)
- Gregory S. Day
- Division of Neurology; University of Toronto; Toronto Ontario Canada
| | - Susanne M. Benseler
- Division of Rheumatology Hospital for Sick Children; University of Toronto; Toronto Ontario Canada
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117
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Shindo K, Onohara A, Hata T, Kobayashi F, Nagasaka K, Nagasaka T, Takiyama Y. Opsoclonus-myoclonus syndrome associated with multiple system atrophy. CEREBELLUM & ATAXIAS 2014; 1:15. [PMID: 26331039 PMCID: PMC4552143 DOI: 10.1186/s40673-014-0015-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/05/2014] [Accepted: 08/29/2014] [Indexed: 11/10/2022]
Abstract
Opsoclonus-myoclonus syndrome (OMS) is well known as a paraneoplastic syndrome or as a parainfectious neurologic complication. However, OMS associated with a neurodegenerative disorder has not been described previously. A 48-year-old woman had been diagnosed as multiple system atrophy-parkinsonian type (MSA-P) based on the findings of dopamine non-responsive parkinsonism with autonomic failure and typical findings on magnetic resonance imaging 5 years ago. She exhibited recurrent asynchronous and arrhythmic myoclonic movements of the upper limbs and abdomen with a very short duration, and involuntary eye movements, which were repetitive, rapid, random, multidirectional, conjugate saccades of irregular amplitude and frequency at rest. Based on hematological and radiological findings, the diagnosis was advanced MSA-P associated with OMS. As far as we are aware, there have not been any previous reports of such a case.
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Affiliation(s)
- Kazumasa Shindo
- Department of Neurology, University of Yamanashi Hospital, 1110 Tamaho, Yamanashi, 409-3898 Japan
| | - Akiko Onohara
- Department of Neurology, University of Yamanashi Hospital, 1110 Tamaho, Yamanashi, 409-3898 Japan
| | - Takanori Hata
- Department of Neurology, University of Yamanashi Hospital, 1110 Tamaho, Yamanashi, 409-3898 Japan
| | - Fumikazu Kobayashi
- Department of Neurology, University of Yamanashi Hospital, 1110 Tamaho, Yamanashi, 409-3898 Japan
| | - Kaori Nagasaka
- Department of Neurology, University of Yamanashi Hospital, 1110 Tamaho, Yamanashi, 409-3898 Japan
| | - Takamura Nagasaka
- Department of Neurology, University of Yamanashi Hospital, 1110 Tamaho, Yamanashi, 409-3898 Japan
| | - Yoshihisa Takiyama
- Department of Neurology, University of Yamanashi Hospital, 1110 Tamaho, Yamanashi, 409-3898 Japan
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