Movement Disorders (revue)

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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 : 001610

Severe 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 :

RBID : Pascal:07-0263045

Descripteurs français

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.
pA  
A01 01  1    @0 0885-3185
A03   1    @0 Mov. disord.
A05       @2 22
A06       @2 5
A08 01  1  ENG  @1 Severe hypokinesis caused by paraneoplastic anti-ma2 encephalitis associated with bilateral intratubular germ-cell neoplasm of the testes
A11 01  1    @1 MATSUMOTO (Lumine)
A11 02  1    @1 YAMAMOTO (Tomotaka)
A11 03  1    @1 HIGASHIHARA (Mana)
A11 04  1    @1 SUGIMOTO (Izumi)
A11 05  1    @1 KOWA (Hisatomo)
A11 06  1    @1 SHIBAHARA (Junji)
A11 07  1    @1 NAKAMURA (Koichiro)
A11 08  1    @1 SHIMIZU (Jun)
A11 09  1    @1 UGAWA (Yoshikazu)
A11 10  1    @1 GOTO (Jun)
A11 11  1    @1 DALMAU (Josep)
A11 12  1    @1 TSUJI (Shoji)
A14 01      @1 Department of Neurology, The University of Tokyo @2 Tokyo @3 JPN @Z 1 aut. @Z 2 aut. @Z 3 aut. @Z 4 aut. @Z 5 aut. @Z 7 aut. @Z 8 aut. @Z 9 aut. @Z 10 aut. @Z 12 aut.
A14 02      @1 Department of Pathology, The University of Tokyo @2 Tokyo @3 JPN @Z 6 aut.
A14 03      @1 Department of Neurology (Division Neuro-Oncology), University of Pennsylvania @2 Philadelphia, Pennsylvania @3 USA @Z 11 aut.
A20       @1 728-731
A21       @1 2007
A23 01      @0 ENG
A43 01      @1 INIST @2 20953 @5 354000149439720230
A44       @0 0000 @1 © 2007 INIST-CNRS. All rights reserved.
A45       @0 11 ref.
A47 01  1    @0 07-0263045
A60       @1 P @3 CC
A61       @0 A
A64 01  1    @0 Movement disorders
A66 01      @0 USA
C01 01    ENG  @0 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.
C02 01  X    @0 002B17
C02 02  X    @0 002B05C02A
C02 03  X    @0 002A25L
C03 01  X  FRE  @0 Système nerveux pathologie @5 01
C03 01  X  ENG  @0 Nervous system diseases @5 01
C03 01  X  SPA  @0 Sistema nervioso patología @5 01
C03 02  X  FRE  @0 Paranéoplasique syndrome @5 02
C03 02  X  ENG  @0 Paraneoplastic syndrome @5 02
C03 02  X  SPA  @0 Paraneoplásico síndrome @5 02
C03 03  X  FRE  @0 Encéphalite @5 03
C03 03  X  ENG  @0 Encephalitis @5 03
C03 03  X  SPA  @0 Encefalitis @5 03
C03 04  X  FRE  @0 Tumeur @5 04
C03 04  X  ENG  @0 Tumor @5 04
C03 04  X  SPA  @0 Tumor @5 04
C03 05  X  FRE  @0 Parkinsonisme @2 NM @5 05
C03 05  X  ENG  @0 Parkinsonism @2 NM @5 05
C03 05  X  SPA  @0 Parkinson síndrome @2 NM @5 05
C07 01  X  FRE  @0 Encéphale pathologie @5 37
C07 01  X  ENG  @0 Cerebral disorder @5 37
C07 01  X  SPA  @0 Encéfalo patología @5 37
C07 02  X  FRE  @0 Système nerveux central pathologie @5 38
C07 02  X  ENG  @0 Central nervous system disease @5 38
C07 02  X  SPA  @0 Sistema nervosio central patología @5 38
N21       @1 176
N44 01      @1 OTO
N82       @1 OTO

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Pascal:07-0263045

Le document en format XML

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<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>
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<name sortKey="Yamamoto, Tomotaka" sort="Yamamoto, Tomotaka" uniqKey="Yamamoto T" first="Tomotaka" last="Yamamoto">Tomotaka Yamamoto</name>
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<name sortKey="Kowa, Hisatomo" sort="Kowa, Hisatomo" uniqKey="Kowa H" first="Hisatomo" last="Kowa">Hisatomo Kowa</name>
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<name sortKey="Shibahara, Junji" sort="Shibahara, Junji" uniqKey="Shibahara J" first="Junji" last="Shibahara">Junji Shibahara</name>
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<name sortKey="Nakamura, Koichiro" sort="Nakamura, Koichiro" uniqKey="Nakamura K" first="Koichiro" last="Nakamura">Koichiro Nakamura</name>
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<name sortKey="Shimizu, Jun" sort="Shimizu, Jun" uniqKey="Shimizu J" first="Jun" last="Shimizu">Jun Shimizu</name>
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<name sortKey="Ugawa, Yoshikazu" sort="Ugawa, Yoshikazu" uniqKey="Ugawa Y" first="Yoshikazu" last="Ugawa">Yoshikazu Ugawa</name>
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<name sortKey="Goto, Jun" sort="Goto, Jun" uniqKey="Goto J" first="Jun" last="Goto">Jun Goto</name>
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<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>
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