Cerebellar hypermetabolism in paraneoplastic cerebellar degeneration.

Choi, K-D; Kim, J S; Park, S-H; Kim, Y K; Kim, S E; Smitt, P S · J Neurol Neurosurg Psychiatry · 2006

case_report · Level V

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Abstract

A 51 year old man with paraneoplastic cerebellar degeneration from gastric adenocarcinoma showed cerebellar hypermetabolism and increased perfusion on brain FDG-PET scan and SPECT during the acute stage of his illness. The patient underwent subtotal gastrectomy. The intensity of the hypermetabolism had decreased markedly on follow-up FDG-PET 3 months later following two cycles of chemotherapy. We suggest that the cerebellar hypermetabolism may have been due to an acute inflammatory process associated with an immunological reaction.

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