A novel antineuronal antibody in a motor neuron syndrome associated with breast cancer

A 72-year-old woman developed a lower motor neuron syndrome (MNS) 4 months before the appearance of breast cancer. Monoparesis progressed to quadriparesis despite high-dose IV immunoglobulins, plasma exchange, and azathioprine, and high-dose IV methylprednisolone. The patient improved only after the...

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Veröffentlicht in:Neurology 1999-09, Vol.53 (4), p.852-855
Hauptverfasser: FERRACCI, F, FASSETTA, G, BUTLER, M. H, FLOYD, S, SOLIMENA, M, DE CAMILLI, P
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container_issue 4
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container_title Neurology
container_volume 53
creator FERRACCI, F
FASSETTA, G
BUTLER, M. H
FLOYD, S
SOLIMENA, M
DE CAMILLI, P
description A 72-year-old woman developed a lower motor neuron syndrome (MNS) 4 months before the appearance of breast cancer. Monoparesis progressed to quadriparesis despite high-dose IV immunoglobulins, plasma exchange, and azathioprine, and high-dose IV methylprednisolone. The patient improved only after the removal of the tumor. MRI demonstrated hyperintensities in the cervical spinal cord. The patient had antibodies that reacted with axonal initial segments and nodes of Ranvier. The findings suggest that in this patient lower MNS may be a paraneoplastic condition associated with breast cancer.
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subjects Aged
Autoantibodies - immunology
Biological and medical sciences
Blotting, Western
Breast Neoplasms - complications
Breast Neoplasms - immunology
Breast Neoplasms - pathology
Electromyography
Female
Fluorescent Antibody Technique
Gynecology. Andrology. Obstetrics
Humans
Magnetic Resonance Imaging
Mammary gland diseases
Medical sciences
Motor Neuron Disease - complications
Motor Neuron Disease - immunology
Neurology
Tumors
Tumors of the nervous system. Phacomatoses
title A novel antineuronal antibody in a motor neuron syndrome associated with breast cancer
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