Paraneoplastic cerebellar degeneration and limbic encephalitis in a patient with adenocarcinoma of the colon.

Tsukamoto, T; Mochizuki, R; Mochizuki, H; Noguchi, M; Kayama, H; Hiwatashi, M; Yamamoto, T · J Neurol Neurosurg Psychiatry · 1993

case_report · Level V

Where this comes from

Abstract

The rare association of two neurological paraneoplastic syndromes, paraneoplastic cerebellar degeneration and limbic encephalitis occurred in a 55 year old woman with a microscopic adenocarcinoma in a colonic polyp. Complete removal of the tumour by polypectomy brought about a favourable recovery from limbic encephalitis but the cerebellar ataxia remained. High titres of antineuronal nuclear antibody resembling anti-Hu were demonstrated in serum by immunohistochemistry using rat brain as a substrate. The antibody identified a protein band of 41 kDa on a Western immunoblot.

Medical subject headings