Autopsy case of opsoclonus-myoclonus-ataxia and cerebellar cognitive affective syndrome associated with small cell carcinoma of the lung.
Identifieur interne : 002663 ( PubMed/Corpus ); précédent : 002662; suivant : 002664Autopsy case of opsoclonus-myoclonus-ataxia and cerebellar cognitive affective syndrome associated with small cell carcinoma of the lung.
Auteurs : Shinji Ohara ; Naoko Iijima ; Kensuke Hayashida ; Takashi Oide ; Satoshi KataiSource :
- Movement disorders : official journal of the Movement Disorder Society [ 1531-8257 ] ; 2007.
English descriptors
- KwdEn :
- Autopsy (methods), Carcinoma, Small Cell (complications), Carcinoma, Small Cell (pathology), Carcinoma, Small Cell (therapy), Cerebellar Diseases (complications), Cerebellar Diseases (pathology), Cerebellar Diseases (therapy), Cognition Disorders (complications), Cognition Disorders (pathology), Cognition Disorders (therapy), Humans, Lung Neoplasms (complications), Lung Neoplasms (pathology), Lung Neoplasms (therapy), Male, Middle Aged, Paraneoplastic Syndromes (complications), Paraneoplastic Syndromes (pathology), Paraneoplastic Syndromes (therapy), Retrospective Studies.
- MESH :
- complications : Carcinoma, Small Cell, Cerebellar Diseases, Cognition Disorders, Lung Neoplasms, Paraneoplastic Syndromes.
- methods : Autopsy.
- pathology : Carcinoma, Small Cell, Cerebellar Diseases, Cognition Disorders, Lung Neoplasms, Paraneoplastic Syndromes.
- therapy : Carcinoma, Small Cell, Cerebellar Diseases, Cognition Disorders, Lung Neoplasms, Paraneoplastic Syndromes.
- Humans, Male, Middle Aged, Retrospective Studies.
Abstract
We report an autopsy case of paraneoplastic opsoclonus-myoclonus-ataxia syndrome associated with small cell carcinoma of the lung. Chemotherapy and lung lobectomy resulted in complete tumor remission and disappearance of myoclonus. However, emotional and behavioral disturbances relapsed and remitted associated with exacerbation of truncal ataxia and ocular flutter, which responded favorably to prednisolone. At autopsy, after 2 years and 11 months of illness, there was no recurrence of cancer. Neuropathologically, only the cerebellum was affected, with diffuse loss of Purkinje cells and dentate neurons, suggesting that the paraneoplastic cerebellar involvement may be responsible for the cognitive affective symptoms in our patient.
DOI: 10.1002/mds.21326
PubMed: 17534981
Links to Exploration step
pubmed:17534981Le document en format XML
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<author><name sortKey="Ohara, Shinji" sort="Ohara, Shinji" uniqKey="Ohara S" first="Shinji" last="Ohara">Shinji Ohara</name>
<affiliation><nlm:affiliation>Department of Neurology, National Chushin-Matsumoto Hospital, Matsumoto, Japan. neuro@cameo.plala.or.jp</nlm:affiliation>
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<author><name sortKey="Iijima, Naoko" sort="Iijima, Naoko" uniqKey="Iijima N" first="Naoko" last="Iijima">Naoko Iijima</name>
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<author><name sortKey="Hayashida, Kensuke" sort="Hayashida, Kensuke" uniqKey="Hayashida K" first="Kensuke" last="Hayashida">Kensuke Hayashida</name>
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<author><name sortKey="Oide, Takashi" sort="Oide, Takashi" uniqKey="Oide T" first="Takashi" last="Oide">Takashi Oide</name>
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<author><name sortKey="Katai, Satoshi" sort="Katai, Satoshi" uniqKey="Katai S" first="Satoshi" last="Katai">Satoshi Katai</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Autopsy case of opsoclonus-myoclonus-ataxia and cerebellar cognitive affective syndrome associated with small cell carcinoma of the lung.</title>
<author><name sortKey="Ohara, Shinji" sort="Ohara, Shinji" uniqKey="Ohara S" first="Shinji" last="Ohara">Shinji Ohara</name>
<affiliation><nlm:affiliation>Department of Neurology, National Chushin-Matsumoto Hospital, Matsumoto, Japan. neuro@cameo.plala.or.jp</nlm:affiliation>
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<author><name sortKey="Iijima, Naoko" sort="Iijima, Naoko" uniqKey="Iijima N" first="Naoko" last="Iijima">Naoko Iijima</name>
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<author><name sortKey="Hayashida, Kensuke" sort="Hayashida, Kensuke" uniqKey="Hayashida K" first="Kensuke" last="Hayashida">Kensuke Hayashida</name>
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<author><name sortKey="Oide, Takashi" sort="Oide, Takashi" uniqKey="Oide T" first="Takashi" last="Oide">Takashi Oide</name>
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<author><name sortKey="Katai, Satoshi" sort="Katai, Satoshi" uniqKey="Katai S" first="Satoshi" last="Katai">Satoshi Katai</name>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Autopsy (methods)</term>
<term>Carcinoma, Small Cell (complications)</term>
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<term>Carcinoma, Small Cell (therapy)</term>
<term>Cerebellar Diseases (complications)</term>
<term>Cerebellar Diseases (pathology)</term>
<term>Cerebellar Diseases (therapy)</term>
<term>Cognition Disorders (complications)</term>
<term>Cognition Disorders (pathology)</term>
<term>Cognition Disorders (therapy)</term>
<term>Humans</term>
<term>Lung Neoplasms (complications)</term>
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<term>Lung Neoplasms (therapy)</term>
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<term>Middle Aged</term>
<term>Paraneoplastic Syndromes (complications)</term>
<term>Paraneoplastic Syndromes (pathology)</term>
<term>Paraneoplastic Syndromes (therapy)</term>
<term>Retrospective Studies</term>
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<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Carcinoma, Small Cell</term>
<term>Cerebellar Diseases</term>
<term>Cognition Disorders</term>
<term>Lung Neoplasms</term>
<term>Paraneoplastic Syndromes</term>
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<term>Cerebellar Diseases</term>
<term>Cognition Disorders</term>
<term>Lung Neoplasms</term>
<term>Paraneoplastic Syndromes</term>
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<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Carcinoma, Small Cell</term>
<term>Cerebellar Diseases</term>
<term>Cognition Disorders</term>
<term>Lung Neoplasms</term>
<term>Paraneoplastic Syndromes</term>
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<front><div type="abstract" xml:lang="en">We report an autopsy case of paraneoplastic opsoclonus-myoclonus-ataxia syndrome associated with small cell carcinoma of the lung. Chemotherapy and lung lobectomy resulted in complete tumor remission and disappearance of myoclonus. However, emotional and behavioral disturbances relapsed and remitted associated with exacerbation of truncal ataxia and ocular flutter, which responded favorably to prednisolone. At autopsy, after 2 years and 11 months of illness, there was no recurrence of cancer. Neuropathologically, only the cerebellum was affected, with diffuse loss of Purkinje cells and dentate neurons, suggesting that the paraneoplastic cerebellar involvement may be responsible for the cognitive affective symptoms in our patient.</div>
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<Title>Movement disorders : official journal of the Movement Disorder Society</Title>
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<ArticleTitle>Autopsy case of opsoclonus-myoclonus-ataxia and cerebellar cognitive affective syndrome associated with small cell carcinoma of the lung.</ArticleTitle>
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<Abstract><AbstractText>We report an autopsy case of paraneoplastic opsoclonus-myoclonus-ataxia syndrome associated with small cell carcinoma of the lung. Chemotherapy and lung lobectomy resulted in complete tumor remission and disappearance of myoclonus. However, emotional and behavioral disturbances relapsed and remitted associated with exacerbation of truncal ataxia and ocular flutter, which responded favorably to prednisolone. At autopsy, after 2 years and 11 months of illness, there was no recurrence of cancer. Neuropathologically, only the cerebellum was affected, with diffuse loss of Purkinje cells and dentate neurons, suggesting that the paraneoplastic cerebellar involvement may be responsible for the cognitive affective symptoms in our patient.</AbstractText>
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