Presentation
It may be the initial presentation of an occult neoplasm. Detection and resection of the neoplasm may result in cure. [tititudorancea.com]
We present a patient with anti-Hu antibody-associated paraneoplastic sensory polyneuropathy and tumor embolism diagnosed by endovascular biopsy to be due to small cell cancer, the primary site of which was not evident. [ncbi.nlm.nih.gov]
CONCLUSION: Anti-Hu syndrome most commonly presents with sensory neuronpathy. [neurology.org]
Presumptive diagnosis is based on patient history and clinical presentation. [arupconsult.com]
Entire Body System
- Falling
If I did get to fall asleep I'd wake up and smell smoke, panic and have to go check around the house to make sure everybody was safe. This has been going on for over a year now. On May 11, 2015 the Dr. [cancercompass.com]
Inquire about ‘negative’ symptoms such as numbness, clumsiness, orthostasis, weakness, falls, stumbling or gait abnormalities. [clinicaladvisor.com]
Lack of muscle control and decreased sensation can increase the risk of falls or other injuries. If you have movement difficulties, these measures can help keep you safe: Leave lights on. [medlineplus.gov]
It usually affects patients younger than four years of age, and presents with sudden development of staggering and falling (ataxia) often followed by body jerks, drooling, refusal to walk or sit, opsoclonus, irritability and sleep disburbances. [rarediseases.org]
There was a history of fall and thoracic trauma, 3 months after the first presentation of muscular weakness that was not associated with acute exaggeration or acute change of the symptomatology. Chest radiography was non revealing ( Figure 1 ). [jtd.amegroups.com]
- Burning Pain
In patients with extreme symptoms, they may present with burning pain, muscle wasting, paralysis, or organ dysfunction. 1 There are multiple causes of peripheral neuropathy, and in the cancer patient, identifying the culprit may be complicated by a plethora [practicalpainmanagement.com]
Ischemic neuropathies often have pain as a prominent feature. Small-fiber neuropathies often present with burning pain, lightning-like or lancinating pain, aching, or uncomfortable paresthesias (dysesthesias). [aafp.org]
These fibers convey aching, burning pain and temperature sensation and also include the sympathetic, postganglionic motor nerves. Their speed is approximately 1 meter/second. [dartmouth.edu]
- Asymptomatic
Bulbar symptoms (an alarm sign, suggesting the disorders noted above) For an asymptomatic patient a simple assessment of the primary sensory modalities (pinprick, soft touch, vibration), and some integrated examination (e.g., gait, heel walk, Romberg) [clinicaladvisor.com]
Cushing’s syndrome with bilateral adrenal hyperplasia associated with a carcinoid thymic tumor has also been reported in a patient, who became asymptomatic after surgical resection of the carcinoid ( 17 ). [jtd.amegroups.com]
- Pathologist
He is also now Associate Pathologist (Neuropathology) at St. Michael’s Hospital, Toronto. Dr. Bilbo is a past Chief Examiner, Section of Neuropathology, for the Royal College of Physicians and Surgeons of Canada. [books.google.com]
Gastrointestinal
- Nausea
DESIGN/METHODS: Case Report RESULTS: A 64 year old female with a history of tobacco use presented with gradual progressive weakness and numbness and tingling in her extremities, difficulty walking, abdominal pain, constipation, nausea, and unintentional [neurology.org]
Urinary dysfunction: frequency, excessive urinating at night, urgency, stress incontinence, retention, hesitancy Sexual dysfunction: erectile dysfunction, vaginal dryness, decreased libido Gastrointestinal dysfunction: intermittent diarrhea, constipation, nausea [my.clevelandclinic.org]
nausea, bone marrow suppression Oxycarbazepine 600-2400 mg Fatigue, nausea, dizziness, leukopenia Lamotrigine 50-500 mg Serious rash, dizziness, nausea, sedation Topiramate 25-400 mg Sedation, weight loss, nephrolithiasis, myopia, angle closure glaucoma [clevelandclinicmeded.com]
Other orthostatic symptoms ( for example, nausea, palpitations, light-headedness, tinnitus, shortness of breath). Syncope (may occur with micturition, defecation). Inability to stand without syncope (severe cases). Arrhythmias. Supine hypertension. [patient.info]
[…] failure Fasciculations Sensory: Associated ganglionopathy Neoplasm: Small cell lung Cerebellar & Multisystem syndromes Paraneoplastic Ataxia: General Features Onset Before neoplasm Gait disorder Clinical Pancerebellar syndrome: Symmetric; Vertigo & Nausea [neuromuscular.wustl.edu]
- Vomiting
Paraneoplastic syndromes GI tract, eg anorexia, vomiting, protein-losing enteropathy, liver disease Hematologic, eg leukemoid reaction, reactive eosinophilia, peripheral 'cytoses or 'cytopenias, hemolysis, DIC, thromboembolism, thrombophlebitis migrans [medical-dictionary.thefreedictionary.com]
[…] dysfunction: frequency, excessive urinating at night, urgency, stress incontinence, retention, hesitancy Sexual dysfunction: erectile dysfunction, vaginal dryness, decreased libido Gastrointestinal dysfunction: intermittent diarrhea, constipation, nausea, vomiting [my.clevelandclinic.org]
Urogenital
- Sexual Dysfunction
Common symptoms include: Postural hypotension: lightheadedness, dizziness, fainting, dimness of vision, unsteady gait, weakness Urinary dysfunction: frequency, excessive urinating at night, urgency, stress incontinence, retention, hesitancy Sexual dysfunction [my.clevelandclinic.org]
Sexual Impotence. Ejaculatory failure. Female sexual dysfunction. Feet Burning sensation. Hair loss. Pruritus. Dry skin. Pale, cold feet. Worsening of symptoms at night. [patient.info]
Neurologic
- Polyneuropathy
Three of 8,954 in- patients have been selected as affected by paraneoplastic polyneuropathy. [ncbi.nlm.nih.gov]
Numerology is: 1 Images & Illustrations of paraneoplastic polyneuropathy Translation Find a translation for the paraneoplastic polyneuropathy definition in other languages: Discuss these paraneoplastic polyneuropathy definitions with the community: Word [definitions.net]
The most common clinical presentation is a symmetric distal mixed sensorimotor polyneuropathy. [profiles.umassmed.edu]
[…] neuropathy Peripheral neuropathy, idiopathic Peripheral neuropathy, paraneoplastic Polyneuropathy Polyneuropathy (disorder of multiple nerves) Polyneuropathy (multiple nerve disorder) Polyneuropathy due to lyme disease Polyneuropathy, paraneoplastic [icd9data.com]
For example, optimizing glycemic control in diabetic polyneuropathy often stabilizes or improves the polyneuropathy. [clevelandclinicmeded.com]
- Peripheral Neuropathy
Features of Textbook of Peripheral Neuropathy Include : ̈ Practical yet comprehensiveóan accessible ìgo-toî reference for clinicians ̈ Covers all clinically relevant peripheral neuropathies ̈ Clinical Pearls and Key Points are set off from the text for [books.google.com]
(NCI Thesaurus) Definition 2 A diffuse or multifocal peripheral neuropathy related to the remote effects of a neoplasm, most often carcinoma or lymphoma. Pathologically, there are inflammatory changes in peripheral nerves. [tititudorancea.com]
[…] damage), peripheral, idiopathic Neuropathy, hereditary Neuropathy, peripheral Neuropathy, peripheral, idiopathic Paraneoplastic peripheral neuropathy (disorder) Paraneoplastic polyneuropathy (disorder) Peripheral nerve disease Peripheral neuralgia Peripheral [icd9data.com]
Paraneoplastic Neuropathies, Paraneoplastic Peripheral Neuropathy, Paraneoplastic Neuropathy, Paraneoplastic Peripheral Paraneoplastic Neuropathies Paraneoplastic Neuropathy Paraneoplastic Peripheral Neuropathies Paraneoplastic Peripheral Neuropathy [finto.fi]
[…] development of peripheral neuropathy in cancer patients. [practicalpainmanagement.com]
- Neurologic Manifestation
The neurological manifestations were chronic, but disability was limited. [ehoonline.biomedcentral.com]
Neurological Manifestations Paraneoplastic Cerebellar Degeration (PCD) : PCD has been reported in HL as well as NHL but the syndrome associated with HL is better characterized as HL is one of the commonest malignancies associated with PCD. [allaboutblood.com]
The clotting manifestations are treated with anticoagulation (warfarin or heparin). [dysautonomiainternational.org]
The neurological manifestations of PS are complex and often require 24-hour patient care. Many caregivers will require quick access to information on caring for a disabled person. [encyclopedia.com]
In: Mathews WB (ed) Handbook of clinical neurology. Elsevier Science Publishers, New York, 1987, Vol 51, pp 465–473. Google Scholar 31. Hensen RA, Urich H: Cancer and the nervous system: the neurological manifestations of systemic malignant disease. [link.springer.com]
- Confusion
A 68-year-old gentleman was admitted with worsening confusion and unsteady gait following a flu like illness few weeks ago, with increasing drowsiness for 3 days. [endocrine-abstracts.org]
Oftentimes, these patients develop confusion, memory loss, depression, hallucinations, seizures, and/or cerebellar ataxia. Treating the underlying cancer does not always affect the clinical course of PEN/SN. [practicalpainmanagement.com]
Paraneoplastic stiff-person syndrome should not be confused with the non-paraneoplastic form of stiff-person syndrome. [rarediseases.org]
In view of these findings, and because the terms in the literature are so confusing, we believe that the terms "POEMS syndrome" and "osteosclerotic myeloma" should not be used to describe the syndrome of plasma-cell dyscrasia with polyneuropathy. [nejm.org]
Creutzfeld-Jakob Anti- K + channel antibodies 9 Frequency: 25% of limbic encephalitis Neoplasm Frequency: 50% Type Lung, small cell Also: Adenomas, Thymoma, Hematologic malignancies Clinical Onset: Subacute Multifocal Encephlopathy Short-term memory loss Confusion [neuromuscular.wustl.edu]
- Cerebellar Ataxia
Nonparaneoplastic Markers Autoantibody Examples of Associated Neuropathic Syndromes GM1 MMN, ALS/MND, GBS, AMAN GM2 GBS variants GD1a Axonal GBS GD1b Sensory peripheral neuropathy, MND, GBS GQ1b MFS, acute ophthalmoplegia, cerebellar ataxia MAG/SGPG Inflammatory [arupconsult.com]
Eventually, this type of neuropathy may result in loss of proprioception and sensory ataxia. Oftentimes, these patients develop confusion, memory loss, depression, hallucinations, seizures, and/or cerebellar ataxia. [practicalpainmanagement.com]
Only the search sequence "Ataxia–cerebellar" will result in assignment of the most specific term available—cerebellar ataxia (code 334.3). [hcpro.com]
Plasma exchange Ataxia with antibodies to CARP 8 10 Epidemiology: 1 patient; 77 year old female Clinical: Pure cerebellar syndrome Onset: 3 years after neoplasm Ataxia: Limb; Truncal; Gait; Dysarthria Ocular: Horizontal nystagmus Mental status: Normal [neuromuscular.wustl.edu]
Fifty-seven patients (62 %) developed cerebellar ataxia; 88 % of them were found to have anti-Yo [ 24 ]. [ehoonline.biomedcentral.com]
Workup
Further workup revealed mediastinal Hodgkin’s disease (HD; nodular sclerosing subtype) Ann Arbor stage II and non-small cell cancer of the lung (stage T1N0M0). [prohealth.com]
As the patient continued to loose weight and appetite, his workup was repeated. [ispub.com]
Complete electrodiagnostic studies [Nerve conduction studies (NCS) and needle electromyography (EMG)]: Perform if unclear after initial workup or presence of atypical symptoms: asymmetry, motor predominance, non-length dependence, prominent autonomic [clinicaladvisor.com]
Biopsy
- Nerve Biopsy showing Axonal Neuropathy
Electrophysiologic studies and sural nerve biopsy showed axonal neuropathy consistent with a paraneoplastic syndrome. [prohealth.com]
Treatment
Investigations of the cerebrospinal fluid for signs of inflammation and borrelial antibodies were negative, and the patient did not benefit from repeated antibiotic treatment. [prohealth.com]
You are here Home > Navigating Cancer Care Navigating Cancer Care Learn about cancer, its causes, and its treatment. [cancer.net]
Treatment Because PS are considered to be immune-mediated disorders, two treatment approaches have been used: removal of the source of the antigen by treatment of the underlying tumor, and suppression of the immune response. [encyclopedia.com]
Unlike other types of pain syndromes, PEN/SN is not due to the effects of the tumor itself, metastasis, treatment, infection, or metabolic abnormalities. [practicalpainmanagement.com]
The purpose of this study is to determine if patients with painful CIPN will have a decrease in pain scores after treatment with the MC-5A device. [clinicaltrials.gov]
Prognosis
), 疲労(fatigue) Keyword: 傍腫瘍性神経症侯群(paraneoplastic syndrome), 後根神経節(dorsal root ganglion), 感覚性運動失調(sensory ataxia), 長期予後(long-term prognosis), 疲労(fatigue) pp.572-576 発行日 2009年9月18日 Published Date 2009/9/18 Abstract 文献概要 1ページ目 Look Inside 参考文献 Reference [webview.isho.jp]
Prognosis The prognosis is determined by the particular cause of the autonomic neuropathy. In most cases the course is one of gradual progression. In the case of diabetes mellitus the prognosis is improved with good control of diabetes. [patient.info]
Prognosis The prognosis for persons with paraneoplastic syndromes depends on the specific type of PS, and the progression of the underlying cancer. [encyclopedia.com]
Onset Time: Before or after neoplasm Symptoms: Pain in back or Radiating to legs Weakness: Flaccid paraplegia Sensory loss: All modalities Sphincter paralysis Reflexes: Tendon reduced; ± Extensor plantar Course Progressive: Ascending paralysis Poor prognosis [neuromuscular.wustl.edu]
A specific prognosis for those with paraneoplastic syndromes links to each unique case presented. Thus, prognosis for paraneoplastic syndromes may vary greatly. [en.wikipedia.org]
Etiology
Applicable To Carcinomatous neuromyopathy Sensorial paraneoplastic neuropathy [Denny Brown] Code First Code First Help Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10data.com]
Tabs Content Clinical Overview Indications for Testing Autoantibody testing might be considered in individuals presenting with severe or rapidly progressive muscle weakness and sensory symptoms and no known underlying infection or etiology. [arupconsult.com]
[…] with extreme symptoms, they may present with burning pain, muscle wasting, paralysis, or organ dysfunction. 1 There are multiple causes of peripheral neuropathy, and in the cancer patient, identifying the culprit may be complicated by a plethora of etiologies [practicalpainmanagement.com]
Questions exploring different potential etiology’s as well to discriminate between syndromes: Etiologic questions Duration of symptoms (acute versus sub-acute syndromes). [clinicaladvisor.com]
With a systematic approach to the evaluation of these disorders, approximately 75% of patients have a specific etiologic diagnosis. [clevelandclinicmeded.com]
Epidemiology
Epidemiology In general, these can occur in men and women at any age, but the epidemiology will depend on the particular cause. Some causes are very rare. [patient.info]
Plasma exchange Ataxia with antibodies to CARP 8 10 Epidemiology: 1 patient; 77 year old female Clinical: Pure cerebellar syndrome Onset: 3 years after neoplasm Ataxia: Limb; Truncal; Gait; Dysarthria Ocular: Horizontal nystagmus Mental status: Normal [neuromuscular.wustl.edu]
In a previous large scale epidemiological study (United States-based databases, 1973-1991, 8,305 cases) metastases were evident at diagnosis in 45% of patients, and the overall 5-year survival was 50% ( 5 ). [jtd.amegroups.com]
There are studies reporting that 10-15% of patients with vasculitis of the nerve and muscle have an underlying neoplasm, the incidence of which appears to be higher than in the general population. [1], [8] However, there are no controlled clinical and epidemiological [neurologyindia.com]
Most of these lines of investigation have been based on epidemiological identification of specific risk factors. [dartmouth.edu]
Pathophysiology
Pathophysiology As might be expected, various pathophysiological processes are involved depending on the particular cause. [ 3 ] Although loss of somatic C fibres is associated with autonomic deficits, there is now known to be a more selective involvement [patient.info]
Pathophysiology Although peripheral neuropathy has multiple etiologies, the nerve has a limited number of ways to respond to injury. 4, 5 The damage can occur at the level of the axon (i.e., axonopathy). [aafp.org]
Back to Top Pathophysiology and Natural History Despite the diverse array of medical disorders that cause peripheral neuropathies, peripheral nerves exhibit only a few distinct pathologic reactions to an insult or disease: wallerian degeneration, axonal [clevelandclinicmeded.com]
However, pathophysiological outcomes usually arise from when a tumor arises. Paraneoplastic syndrome often occurs alongside associated cancers as a result of activated immune systems. [en.wikipedia.org]
A case of finger clubbing associated with nasopharyngeal carcinoma in a young girl, and review of pathophysiology. J Pak Med Assoc 2009; 59(4): 253-4. [ PubMed ] 29. Garganese MC, et al. [medical.nikkeibp.co.jp]
Prevention
Collaborative Meta-Analysis of Randomised Trials of Antiplatelet Therapy for Prevention of Death, Myocardial Infarction, and Stroke in High Risk Patients. [books.google.es]
Knowledge of the pathogenesis, genetics, and molecular biology of neuromuscular disorders is essential both in developing and applying new therapies and preventive measures, and in formulating genetic and prognostic advice. [books.google.com]
[…] hospice care For Children Resources for children with cancer and their families For Teens Resources for teens with cancer For Young Adults Resources for young adults with cancer For Older Adults Resources for older adults and their families Español Prevention [cancer.net]
This review looks at the common causes of neuropathy in cancer patients, as well as effective therapies—and even preventions. Page 1 of 6 Neuropathic pain is often defined as pain caused by a lesion or disease of the somatosensory nervous system. [practicalpainmanagement.com]
For long-term rehabilitation management in these two cases, we suggested a regular exercise program to prevent muscle weakness. Copyright © 2009, The Japanese Association of Rehabilitation Medicine. All rights reserved. [webview.isho.jp]