Severe hypokinesis caused by paraneoplastic anti-ma2 encephalitis associated with bilateral intratubular germ-cell neoplasm of the testes
Identifieur interne : 001609 ( PascalFrancis/Curation ); précédent : 001608; suivant : 001610Severe hypokinesis caused by paraneoplastic anti-ma2 encephalitis associated with bilateral intratubular germ-cell neoplasm of the testes
Auteurs : Lumine Matsumoto [Japon] ; Tomotaka Yamamoto [Japon] ; Mana Higashihara [Japon] ; Izumi Sugimoto [Japon] ; Hisatomo Kowa [Japon] ; Junji Shibahara [Japon] ; Koichiro Nakamura [Japon] ; Jun Shimizu [Japon] ; Yoshikazu Ugawa [Japon] ; Jun Goto [Japon] ; Josep Dalmau [États-Unis] ; Shoji Tsuji [Japon]Source :
- Movement disorders [ 0885-3185 ] ; 2007.
Descripteurs français
- Pascal (Inist)
English descriptors
Abstract
We report a 40-year-old man with severe hypokinesis as paraneoplastic manifestation of a microscopic "carcinoma in situ" of the testis. The young age of the patient, along with progressive neurologic deterioration, detection of anti-Ma2 antibodies, and ultrasound findings of bilateral micro-calcifications, led to bilateral orchiectomy, revealing the tumor in both testes. After orchiectomy, neurological symptoms stabilized, but the patient eventually died of systemic complications caused by his severe neurological deficits. Anti-Ma2 paraneoplastic encephalitis should be considered in patients with severe hypokinesis, and intensive investigation and aggressive approach to treatment is encouraged to prevent progression of the neurological deficits.
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<author><name sortKey="Matsumoto, Lumine" sort="Matsumoto, Lumine" uniqKey="Matsumoto L" first="Lumine" last="Matsumoto">Lumine Matsumoto</name>
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<author><name sortKey="Yamamoto, Tomotaka" sort="Yamamoto, Tomotaka" uniqKey="Yamamoto T" first="Tomotaka" last="Yamamoto">Tomotaka Yamamoto</name>
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<author><name sortKey="Higashihara, Mana" sort="Higashihara, Mana" uniqKey="Higashihara M" first="Mana" last="Higashihara">Mana Higashihara</name>
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<author><name sortKey="Kowa, Hisatomo" sort="Kowa, Hisatomo" uniqKey="Kowa H" first="Hisatomo" last="Kowa">Hisatomo Kowa</name>
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<author><name sortKey="Nakamura, Koichiro" sort="Nakamura, Koichiro" uniqKey="Nakamura K" first="Koichiro" last="Nakamura">Koichiro Nakamura</name>
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<author><name sortKey="Ugawa, Yoshikazu" sort="Ugawa, Yoshikazu" uniqKey="Ugawa Y" first="Yoshikazu" last="Ugawa">Yoshikazu Ugawa</name>
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<author><name sortKey="Dalmau, Josep" sort="Dalmau, Josep" uniqKey="Dalmau J" first="Josep" last="Dalmau">Josep Dalmau</name>
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<author><name sortKey="Tsuji, Shoji" sort="Tsuji, Shoji" uniqKey="Tsuji S" first="Shoji" last="Tsuji">Shoji Tsuji</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Severe hypokinesis caused by paraneoplastic anti-ma2 encephalitis associated with bilateral intratubular germ-cell neoplasm of the testes</title>
<author><name sortKey="Matsumoto, Lumine" sort="Matsumoto, Lumine" uniqKey="Matsumoto L" first="Lumine" last="Matsumoto">Lumine Matsumoto</name>
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<author><name sortKey="Yamamoto, Tomotaka" sort="Yamamoto, Tomotaka" uniqKey="Yamamoto T" first="Tomotaka" last="Yamamoto">Tomotaka Yamamoto</name>
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<author><name sortKey="Higashihara, Mana" sort="Higashihara, Mana" uniqKey="Higashihara M" first="Mana" last="Higashihara">Mana Higashihara</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Neurology, The University of Tokyo</s1>
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<author><name sortKey="Sugimoto, Izumi" sort="Sugimoto, Izumi" uniqKey="Sugimoto I" first="Izumi" last="Sugimoto">Izumi Sugimoto</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Neurology, The University of Tokyo</s1>
<s2>Tokyo</s2>
<s3>JPN</s3>
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<author><name sortKey="Kowa, Hisatomo" sort="Kowa, Hisatomo" uniqKey="Kowa H" first="Hisatomo" last="Kowa">Hisatomo Kowa</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Neurology, The University of Tokyo</s1>
<s2>Tokyo</s2>
<s3>JPN</s3>
<sZ>1 aut.</sZ>
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<author><name sortKey="Shibahara, Junji" sort="Shibahara, Junji" uniqKey="Shibahara J" first="Junji" last="Shibahara">Junji Shibahara</name>
<affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of Pathology, The University of Tokyo</s1>
<s2>Tokyo</s2>
<s3>JPN</s3>
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<author><name sortKey="Nakamura, Koichiro" sort="Nakamura, Koichiro" uniqKey="Nakamura K" first="Koichiro" last="Nakamura">Koichiro Nakamura</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Neurology, The University of Tokyo</s1>
<s2>Tokyo</s2>
<s3>JPN</s3>
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<author><name sortKey="Shimizu, Jun" sort="Shimizu, Jun" uniqKey="Shimizu J" first="Jun" last="Shimizu">Jun Shimizu</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Neurology, The University of Tokyo</s1>
<s2>Tokyo</s2>
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<author><name sortKey="Ugawa, Yoshikazu" sort="Ugawa, Yoshikazu" uniqKey="Ugawa Y" first="Yoshikazu" last="Ugawa">Yoshikazu Ugawa</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Neurology, The University of Tokyo</s1>
<s2>Tokyo</s2>
<s3>JPN</s3>
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<author><name sortKey="Goto, Jun" sort="Goto, Jun" uniqKey="Goto J" first="Jun" last="Goto">Jun Goto</name>
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<s2>Tokyo</s2>
<s3>JPN</s3>
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<author><name sortKey="Dalmau, Josep" sort="Dalmau, Josep" uniqKey="Dalmau J" first="Josep" last="Dalmau">Josep Dalmau</name>
<affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Department of Neurology (Division Neuro-Oncology), University of Pennsylvania</s1>
<s2>Philadelphia, Pennsylvania</s2>
<s3>USA</s3>
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<author><name sortKey="Tsuji, Shoji" sort="Tsuji, Shoji" uniqKey="Tsuji S" first="Shoji" last="Tsuji">Shoji Tsuji</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Neurology, The University of Tokyo</s1>
<s2>Tokyo</s2>
<s3>JPN</s3>
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</analytic>
<series><title level="j" type="main">Movement disorders</title>
<title level="j" type="abbreviated">Mov. disord.</title>
<idno type="ISSN">0885-3185</idno>
<imprint><date when="2007">2007</date>
</imprint>
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<seriesStmt><title level="j" type="main">Movement disorders</title>
<title level="j" type="abbreviated">Mov. disord.</title>
<idno type="ISSN">0885-3185</idno>
</seriesStmt>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Encephalitis</term>
<term>Nervous system diseases</term>
<term>Paraneoplastic syndrome</term>
<term>Parkinsonism</term>
<term>Tumor</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Système nerveux pathologie</term>
<term>Paranéoplasique syndrome</term>
<term>Encéphalite</term>
<term>Tumeur</term>
<term>Parkinsonisme</term>
</keywords>
</textClass>
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<front><div type="abstract" xml:lang="en">We report a 40-year-old man with severe hypokinesis as paraneoplastic manifestation of a microscopic "carcinoma in situ" of the testis. The young age of the patient, along with progressive neurologic deterioration, detection of anti-Ma2 antibodies, and ultrasound findings of bilateral micro-calcifications, led to bilateral orchiectomy, revealing the tumor in both testes. After orchiectomy, neurological symptoms stabilized, but the patient eventually died of systemic complications caused by his severe neurological deficits. Anti-Ma2 paraneoplastic encephalitis should be considered in patients with severe hypokinesis, and intensive investigation and aggressive approach to treatment is encouraged to prevent progression of the neurological deficits.</div>
</front>
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<fA08 i1="01" i2="1" l="ENG"><s1>Severe hypokinesis caused by paraneoplastic anti-ma2 encephalitis associated with bilateral intratubular germ-cell neoplasm of the testes</s1>
</fA08>
<fA11 i1="01" i2="1"><s1>MATSUMOTO (Lumine)</s1>
</fA11>
<fA11 i1="02" i2="1"><s1>YAMAMOTO (Tomotaka)</s1>
</fA11>
<fA11 i1="03" i2="1"><s1>HIGASHIHARA (Mana)</s1>
</fA11>
<fA11 i1="04" i2="1"><s1>SUGIMOTO (Izumi)</s1>
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<fA11 i1="05" i2="1"><s1>KOWA (Hisatomo)</s1>
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<fA11 i1="06" i2="1"><s1>SHIBAHARA (Junji)</s1>
</fA11>
<fA11 i1="07" i2="1"><s1>NAKAMURA (Koichiro)</s1>
</fA11>
<fA11 i1="08" i2="1"><s1>SHIMIZU (Jun)</s1>
</fA11>
<fA11 i1="09" i2="1"><s1>UGAWA (Yoshikazu)</s1>
</fA11>
<fA11 i1="10" i2="1"><s1>GOTO (Jun)</s1>
</fA11>
<fA11 i1="11" i2="1"><s1>DALMAU (Josep)</s1>
</fA11>
<fA11 i1="12" i2="1"><s1>TSUJI (Shoji)</s1>
</fA11>
<fA14 i1="01"><s1>Department of Neurology, The University of Tokyo</s1>
<s2>Tokyo</s2>
<s3>JPN</s3>
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<sZ>9 aut.</sZ>
<sZ>10 aut.</sZ>
<sZ>12 aut.</sZ>
</fA14>
<fA14 i1="02"><s1>Department of Pathology, The University of Tokyo</s1>
<s2>Tokyo</s2>
<s3>JPN</s3>
<sZ>6 aut.</sZ>
</fA14>
<fA14 i1="03"><s1>Department of Neurology (Division Neuro-Oncology), University of Pennsylvania</s1>
<s2>Philadelphia, Pennsylvania</s2>
<s3>USA</s3>
<sZ>11 aut.</sZ>
</fA14>
<fA20><s1>728-731</s1>
</fA20>
<fA21><s1>2007</s1>
</fA21>
<fA23 i1="01"><s0>ENG</s0>
</fA23>
<fA43 i1="01"><s1>INIST</s1>
<s2>20953</s2>
<s5>354000149439720230</s5>
</fA43>
<fA44><s0>0000</s0>
<s1>© 2007 INIST-CNRS. All rights reserved.</s1>
</fA44>
<fA45><s0>11 ref.</s0>
</fA45>
<fA47 i1="01" i2="1"><s0>07-0263045</s0>
</fA47>
<fA60><s1>P</s1>
<s3>CC</s3>
</fA60>
<fA61><s0>A</s0>
</fA61>
<fA64 i1="01" i2="1"><s0>Movement disorders</s0>
</fA64>
<fA66 i1="01"><s0>USA</s0>
</fA66>
<fC01 i1="01" l="ENG"><s0>We report a 40-year-old man with severe hypokinesis as paraneoplastic manifestation of a microscopic "carcinoma in situ" of the testis. The young age of the patient, along with progressive neurologic deterioration, detection of anti-Ma2 antibodies, and ultrasound findings of bilateral micro-calcifications, led to bilateral orchiectomy, revealing the tumor in both testes. After orchiectomy, neurological symptoms stabilized, but the patient eventually died of systemic complications caused by his severe neurological deficits. Anti-Ma2 paraneoplastic encephalitis should be considered in patients with severe hypokinesis, and intensive investigation and aggressive approach to treatment is encouraged to prevent progression of the neurological deficits.</s0>
</fC01>
<fC02 i1="01" i2="X"><s0>002B17</s0>
</fC02>
<fC02 i1="02" i2="X"><s0>002B05C02A</s0>
</fC02>
<fC02 i1="03" i2="X"><s0>002A25L</s0>
</fC02>
<fC03 i1="01" i2="X" l="FRE"><s0>Système nerveux pathologie</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="ENG"><s0>Nervous system diseases</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="SPA"><s0>Sistema nervioso patología</s0>
<s5>01</s5>
</fC03>
<fC03 i1="02" i2="X" l="FRE"><s0>Paranéoplasique syndrome</s0>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="ENG"><s0>Paraneoplastic syndrome</s0>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="SPA"><s0>Paraneoplásico síndrome</s0>
<s5>02</s5>
</fC03>
<fC03 i1="03" i2="X" l="FRE"><s0>Encéphalite</s0>
<s5>03</s5>
</fC03>
<fC03 i1="03" i2="X" l="ENG"><s0>Encephalitis</s0>
<s5>03</s5>
</fC03>
<fC03 i1="03" i2="X" l="SPA"><s0>Encefalitis</s0>
<s5>03</s5>
</fC03>
<fC03 i1="04" i2="X" l="FRE"><s0>Tumeur</s0>
<s5>04</s5>
</fC03>
<fC03 i1="04" i2="X" l="ENG"><s0>Tumor</s0>
<s5>04</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA"><s0>Tumor</s0>
<s5>04</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE"><s0>Parkinsonisme</s0>
<s2>NM</s2>
<s5>05</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG"><s0>Parkinsonism</s0>
<s2>NM</s2>
<s5>05</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA"><s0>Parkinson síndrome</s0>
<s2>NM</s2>
<s5>05</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE"><s0>Encéphale pathologie</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="ENG"><s0>Cerebral disorder</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="SPA"><s0>Encéfalo patología</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="FRE"><s0>Système nerveux central pathologie</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG"><s0>Central nervous system disease</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA"><s0>Sistema nervosio central patología</s0>
<s5>38</s5>
</fC07>
<fN21><s1>176</s1>
</fN21>
<fN44 i1="01"><s1>OTO</s1>
</fN44>
<fN82><s1>OTO</s1>
</fN82>
</pA>
</standard>
</inist>
</record>
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