Paraneoplastic degeneration of the substantia nigra with dystonia and parkinsonism
Identifieur interne : 009795 ( Main/Merge ); précédent : 009794; suivant : 009796Paraneoplastic degeneration of the substantia nigra with dystonia and parkinsonism
Auteurs : Golbe [États-Unis] ; Douglas C. Miller [États-Unis] ; Roger C. Duvoisin [États-Unis]Source :
- Movement Disorders [ 0885-3185 ] ; 1989.
Descripteurs français
- Wicri :
- topic : Cancer.
English descriptors
- KwdEn :
- Adult, Breast Neoplasms (pathology), Breast Neoplasms (physiopathology), Cancer, Carcinoma, Intraductal, Noninfiltrating (pathology), Carcinoma, Intraductal, Noninfiltrating (physiopathology), Degeneration, Dystonia, Dystonia (physiopathology), Female, Humans, Motor Skills (physiology), Nerve Degeneration, Paraneoplastic, Paraneoplastic Syndromes (pathology), Paraneoplastic Syndromes (physiopathology), Parkinson Disease, Secondary (pathology), Parkinson Disease, Secondary (physiopathology), Parkinsonism, Substantia Nigra (pathology), Substantia Nigra (physiopathology), Substantia nigra, Tremor (physiopathology).
- MESH :
- pathology : Breast Neoplasms, Carcinoma, Intraductal, Noninfiltrating, Paraneoplastic Syndromes, Parkinson Disease, Secondary, Substantia Nigra.
- physiology : Motor Skills.
- physiopathology : Breast Neoplasms, Carcinoma, Intraductal, Noninfiltrating, Dystonia, Paraneoplastic Syndromes, Parkinson Disease, Secondary, Substantia Nigra, Tremor.
- Adult, Female, Humans, Nerve Degeneration.
Abstract
A 42‐year‐old woman suffered unexplained weight loss followed by action tremor and difficulty initiating gait. Three months after onset of symptoms, infiltrating ductal carcinoma of the breast, metastatic to liver and lymph nodes, was diagnosed and treated briefly with cyclophosphamide, methotrexate, and 5‐flourouracil (5FU). Severe symmetric action and postural tremor with a myoclonic component developed, with minimal rest tremor, severe dysarthria and dysphagia, small‐stepped and slightly ataxic gait progressing to a bedbound state, and severe widespread dystonic posturing. The latter began as a typical parkinsonian posture of trunk and upper extremities and progressed to a fixed and painful flexion of the elbows and wrists and extension of fingers and neck. Sinement, anticholinergics, baclofen, diazepam, and plasmapheresis gave no benefit. The patient died of complications of immobility 5 months after neurologic symptom onset. Autopsy revealed many pigmentladen macrophages in substantia nigra and moderate loss of pigmented neurons. Inflammation, Lewy bodies, and tumor were absent. Cerebellar Purkinje cells were moderately depleted. Mild neuronal loss and gliosis were present in globus pallidus and cerebellar cortex. Stains for anti‐human IgG, IgM, kappa, and lambda were negative. This, to our knowledge, is the first report of paraneoplastic degeneration of substantia nigra or paraneoplastic parkinsonism.
Url:
DOI: 10.1002/mds.870040206
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Duvoisin</name></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:37F44805B9B1E04AF2EC5DB75B11D63B70E8964A</idno><date when="1989" year="1989">1989</date><idno type="doi">10.1002/mds.870040206</idno><idno type="url">https://api.istex.fr/document/37F44805B9B1E04AF2EC5DB75B11D63B70E8964A/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">002B60</idno><idno type="wicri:Area/Istex/Curation">002B60</idno><idno type="wicri:Area/Istex/Checkpoint">004472</idno><idno type="wicri:doubleKey">0885-3185:1989:Golbe:paraneoplastic:degeneration:of</idno><idno type="wicri:source">PubMed</idno><idno type="RBID">pubmed:2543919</idno><idno type="wicri:Area/PubMed/Corpus">004F99</idno><idno type="wicri:Area/PubMed/Curation">004F99</idno><idno type="wicri:Area/PubMed/Checkpoint">004F73</idno><idno type="wicri:Area/Ncbi/Merge">004167</idno><idno type="wicri:Area/Ncbi/Curation">004167</idno><idno type="wicri:Area/Ncbi/Checkpoint">004167</idno><idno type="wicri:doubleKey">0885-3185:1989:Golbe L:paraneoplastic:degeneration:of</idno><idno type="wicri:Area/Main/Merge">009795</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Paraneoplastic degeneration of the substantia nigra with dystonia and parkinsonism</title><author><name sortKey="Golbe" sort="Golbe" uniqKey="Golbe" last="Golbe">Golbe</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">New Jersey</region></placeName><wicri:cityArea>Department of Neurology, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, New Brunswick</wicri:cityArea></affiliation></author><author><name sortKey="Miller, Douglas C" sort="Miller, Douglas C" uniqKey="Miller D" first="Douglas C." last="Miller">Douglas C. Miller</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Pathology (Neuropathology), New York University, Bellevue Medical Center, New York, New York</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Duvoisin, Roger C" sort="Duvoisin, Roger C" uniqKey="Duvoisin R" first="Roger C." last="Duvoisin">Roger C. Duvoisin</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">New Jersey</region></placeName><wicri:cityArea>Department of Neurology, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, New Brunswick</wicri:cityArea></affiliation></author></analytic><monogr></monogr><series><title level="j">Movement Disorders</title><title level="j" type="abbrev">Mov. Disord.</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="1989">1989</date><biblScope unit="vol">4</biblScope><biblScope unit="issue">2</biblScope><biblScope unit="page" from="147">147</biblScope><biblScope unit="page" to="152">152</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">37F44805B9B1E04AF2EC5DB75B11D63B70E8964A</idno><idno type="DOI">10.1002/mds.870040206</idno><idno type="ArticleID">MDS870040206</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Breast Neoplasms (pathology)</term><term>Breast Neoplasms (physiopathology)</term><term>Cancer</term><term>Carcinoma, Intraductal, Noninfiltrating (pathology)</term><term>Carcinoma, Intraductal, Noninfiltrating (physiopathology)</term><term>Degeneration</term><term>Dystonia</term><term>Dystonia (physiopathology)</term><term>Female</term><term>Humans</term><term>Motor Skills (physiology)</term><term>Nerve Degeneration</term><term>Paraneoplastic</term><term>Paraneoplastic Syndromes (pathology)</term><term>Paraneoplastic Syndromes (physiopathology)</term><term>Parkinson Disease, Secondary (pathology)</term><term>Parkinson Disease, Secondary (physiopathology)</term><term>Parkinsonism</term><term>Substantia Nigra (pathology)</term><term>Substantia Nigra (physiopathology)</term><term>Substantia nigra</term><term>Tremor (physiopathology)</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Breast Neoplasms</term><term>Carcinoma, Intraductal, Noninfiltrating</term><term>Paraneoplastic Syndromes</term><term>Parkinson Disease, Secondary</term><term>Substantia Nigra</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Motor Skills</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Breast Neoplasms</term><term>Carcinoma, Intraductal, Noninfiltrating</term><term>Dystonia</term><term>Paraneoplastic Syndromes</term><term>Parkinson Disease, Secondary</term><term>Substantia Nigra</term><term>Tremor</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Female</term><term>Humans</term><term>Nerve Degeneration</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Cancer</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">A 42‐year‐old woman suffered unexplained weight loss followed by action tremor and difficulty initiating gait. Three months after onset of symptoms, infiltrating ductal carcinoma of the breast, metastatic to liver and lymph nodes, was diagnosed and treated briefly with cyclophosphamide, methotrexate, and 5‐flourouracil (5FU). Severe symmetric action and postural tremor with a myoclonic component developed, with minimal rest tremor, severe dysarthria and dysphagia, small‐stepped and slightly ataxic gait progressing to a bedbound state, and severe widespread dystonic posturing. The latter began as a typical parkinsonian posture of trunk and upper extremities and progressed to a fixed and painful flexion of the elbows and wrists and extension of fingers and neck. Sinement, anticholinergics, baclofen, diazepam, and plasmapheresis gave no benefit. The patient died of complications of immobility 5 months after neurologic symptom onset. Autopsy revealed many pigmentladen macrophages in substantia nigra and moderate loss of pigmented neurons. Inflammation, Lewy bodies, and tumor were absent. Cerebellar Purkinje cells were moderately depleted. Mild neuronal loss and gliosis were present in globus pallidus and cerebellar cortex. Stains for anti‐human IgG, IgM, kappa, and lambda were negative. This, to our knowledge, is the first report of paraneoplastic degeneration of substantia nigra or paraneoplastic parkinsonism.</div></front></TEI><double doi="10.1002/mds.870040206"><ISTEX><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Paraneoplastic degeneration of the substantia nigra with dystonia and parkinsonism</title><author><name sortKey="Golbe" sort="Golbe" uniqKey="Golbe" last="Golbe">Golbe</name></author><author><name sortKey="Miller, Douglas C" sort="Miller, Douglas C" uniqKey="Miller D" first="Douglas C." last="Miller">Douglas C. Miller</name></author><author><name sortKey="Duvoisin, Roger C" sort="Duvoisin, Roger C" uniqKey="Duvoisin R" first="Roger C." last="Duvoisin">Roger C. Duvoisin</name></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:37F44805B9B1E04AF2EC5DB75B11D63B70E8964A</idno><date when="1989" year="1989">1989</date><idno type="doi">10.1002/mds.870040206</idno><idno type="url">https://api.istex.fr/document/37F44805B9B1E04AF2EC5DB75B11D63B70E8964A/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">002B60</idno><idno type="wicri:Area/Istex/Curation">002B60</idno><idno type="wicri:Area/Istex/Checkpoint">004472</idno><idno type="wicri:doubleKey">0885-3185:1989:Golbe:paraneoplastic:degeneration:of</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Paraneoplastic degeneration of the substantia nigra with dystonia and parkinsonism</title><author><name sortKey="Golbe" sort="Golbe" uniqKey="Golbe" last="Golbe">Golbe</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">New Jersey</region></placeName><wicri:cityArea>Department of Neurology, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, New Brunswick</wicri:cityArea></affiliation></author><author><name sortKey="Miller, Douglas C" sort="Miller, Douglas C" uniqKey="Miller D" first="Douglas C." last="Miller">Douglas C. Miller</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Pathology (Neuropathology), New York University, Bellevue Medical Center, New York, New York</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Duvoisin, Roger C" sort="Duvoisin, Roger C" uniqKey="Duvoisin R" first="Roger C." last="Duvoisin">Roger C. Duvoisin</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">New Jersey</region></placeName><wicri:cityArea>Department of Neurology, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, New Brunswick</wicri:cityArea></affiliation></author></analytic><monogr></monogr><series><title level="j">Movement Disorders</title><title level="j" type="abbrev">Mov. Disord.</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="1989">1989</date><biblScope unit="vol">4</biblScope><biblScope unit="issue">2</biblScope><biblScope unit="page" from="147">147</biblScope><biblScope unit="page" to="152">152</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">37F44805B9B1E04AF2EC5DB75B11D63B70E8964A</idno><idno type="DOI">10.1002/mds.870040206</idno><idno type="ArticleID">MDS870040206</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Cancer</term><term>Degeneration</term><term>Dystonia</term><term>Paraneoplastic</term><term>Parkinsonism</term><term>Substantia nigra</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Cancer</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">A 42‐year‐old woman suffered unexplained weight loss followed by action tremor and difficulty initiating gait. Three months after onset of symptoms, infiltrating ductal carcinoma of the breast, metastatic to liver and lymph nodes, was diagnosed and treated briefly with cyclophosphamide, methotrexate, and 5‐flourouracil (5FU). Severe symmetric action and postural tremor with a myoclonic component developed, with minimal rest tremor, severe dysarthria and dysphagia, small‐stepped and slightly ataxic gait progressing to a bedbound state, and severe widespread dystonic posturing. The latter began as a typical parkinsonian posture of trunk and upper extremities and progressed to a fixed and painful flexion of the elbows and wrists and extension of fingers and neck. Sinement, anticholinergics, baclofen, diazepam, and plasmapheresis gave no benefit. The patient died of complications of immobility 5 months after neurologic symptom onset. Autopsy revealed many pigmentladen macrophages in substantia nigra and moderate loss of pigmented neurons. Inflammation, Lewy bodies, and tumor were absent. Cerebellar Purkinje cells were moderately depleted. Mild neuronal loss and gliosis were present in globus pallidus and cerebellar cortex. Stains for anti‐human IgG, IgM, kappa, and lambda were negative. This, to our knowledge, is the first report of paraneoplastic degeneration of substantia nigra or paraneoplastic parkinsonism.</div></front></TEI></ISTEX><PubMed><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Paraneoplastic degeneration of the substantia nigra with dystonia and parkinsonism.</title><author><name sortKey="Golbe, L I" sort="Golbe, L I" uniqKey="Golbe L" first="L I" last="Golbe">L I Golbe</name><affiliation><nlm:affiliation>Department of Neurology, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, New Brunswick 08903.</nlm:affiliation><wicri:noCountry code="subField">New Brunswick 08903</wicri:noCountry></affiliation></author><author><name sortKey="Miller, D C" sort="Miller, D C" uniqKey="Miller D" first="D C" last="Miller">D C Miller</name></author><author><name sortKey="Duvoisin, R C" sort="Duvoisin, R C" uniqKey="Duvoisin R" first="R C" last="Duvoisin">R C Duvoisin</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="1989">1989</date><idno type="RBID">pubmed:2543919</idno><idno type="pmid">2543919</idno><idno type="doi">10.1002/mds.870040206</idno><idno type="wicri:Area/PubMed/Corpus">004F99</idno><idno type="wicri:Area/PubMed/Curation">004F99</idno><idno type="wicri:Area/PubMed/Checkpoint">004F73</idno><idno type="wicri:Area/Ncbi/Merge">004167</idno><idno type="wicri:Area/Ncbi/Curation">004167</idno><idno type="wicri:Area/Ncbi/Checkpoint">004167</idno><idno type="wicri:doubleKey">0885-3185:1989:Golbe L:paraneoplastic:degeneration:of</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Paraneoplastic degeneration of the substantia nigra with dystonia and parkinsonism.</title><author><name sortKey="Golbe, L I" sort="Golbe, L I" uniqKey="Golbe L" first="L I" last="Golbe">L I Golbe</name><affiliation><nlm:affiliation>Department of Neurology, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, New Brunswick 08903.</nlm:affiliation><wicri:noCountry code="subField">New Brunswick 08903</wicri:noCountry></affiliation></author><author><name sortKey="Miller, D C" sort="Miller, D C" uniqKey="Miller D" first="D C" last="Miller">D C Miller</name></author><author><name sortKey="Duvoisin, R C" sort="Duvoisin, R C" uniqKey="Duvoisin R" first="R C" last="Duvoisin">R C Duvoisin</name></author></analytic><series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title><idno type="ISSN">0885-3185</idno><imprint><date when="1989" type="published">1989</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Breast Neoplasms (pathology)</term><term>Breast Neoplasms (physiopathology)</term><term>Carcinoma, Intraductal, Noninfiltrating (pathology)</term><term>Carcinoma, Intraductal, Noninfiltrating (physiopathology)</term><term>Dystonia (physiopathology)</term><term>Female</term><term>Humans</term><term>Motor Skills (physiology)</term><term>Nerve Degeneration</term><term>Paraneoplastic Syndromes (pathology)</term><term>Paraneoplastic Syndromes (physiopathology)</term><term>Parkinson Disease, Secondary (pathology)</term><term>Parkinson Disease, Secondary (physiopathology)</term><term>Substantia Nigra (pathology)</term><term>Substantia Nigra (physiopathology)</term><term>Tremor (physiopathology)</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Breast Neoplasms</term><term>Carcinoma, Intraductal, Noninfiltrating</term><term>Paraneoplastic Syndromes</term><term>Parkinson Disease, Secondary</term><term>Substantia Nigra</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Motor Skills</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Breast Neoplasms</term><term>Carcinoma, Intraductal, Noninfiltrating</term><term>Dystonia</term><term>Paraneoplastic Syndromes</term><term>Parkinson Disease, Secondary</term><term>Substantia Nigra</term><term>Tremor</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Female</term><term>Humans</term><term>Nerve Degeneration</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">A 42-year-old woman suffered unexplained weight loss followed by action tremor and difficulty initiating gait. Three months after onset of symptoms, infiltrating ductal carcinoma of the breast, metastatic to liver and lymph nodes, was diagnosed and treated briefly with cyclophosphamide, methotrexate, and 5-flourouracil (5FU). Severe symmetric action and postural tremor with a myoclonic component developed, with minimal rest tremor, severe dysarthria and dysphagia, small-stepped and slightly ataxic gait progressing to a bedbound state, and severe widespread dystonic posturing. The latter began as a typical parkinsonian posture of trunk and upper extremities and progressed to a fixed and painful flexion of the elbows and wrists and extension of fingers and neck. Sinemet, anticholinergics, baclofen, diazepam, and plasmapheresis gave no benefit. The patient died of complications of immobility 5 months after neurologic symptom onset. Autopsy revealed many pigment-laden macrophages in substantia nigra and moderate loss of pigmented neurons. Inflammation, Lewy bodies, and tumor were absent. Cerebellar Purkinje cells were moderately depleted. Mild neuronal loss and gliosis were present in globus pallidus and cerebellar cortex. Stains for anti-human IgG, IgM, kappa, and lambda were negative. This, to our knowledge, is the first report of paraneoplastic degeneration of substantia nigra or paraneoplastic parkinsonism.</div></front></TEI></PubMed></double></record>Pour manipuler ce document sous Unix (Dilib)
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