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
- 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]
- Acute Onset of Symptoms
It may present with an acute or sub-acute onset of symptoms such as confusion, loss of short term memory or seizures. [ehoonline.biomedcentral.com]
Urogenital
- Testicular Disease
Pathogenic: No disease with passive transfer Frequency of neoplasm when antibody present Nearly always: 80% to 95% Neoplasm May be smaller & slower growing than similar neoplasm without paraneoplastic syndrome Examples: Small cell lung; Gynecologic; Testicular [neuromuscular.wustl.edu]
Neurologic
- 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]
- Stroke
Collaborative Meta-Analysis of Randomised Trials of Antiplatelet Therapy for Prevention of Death, Myocardial Infarction, and Stroke in High Risk Patients. [books.google.es]
Loss of brain cells, which happens if you suffer a stroke, can affect your ability to think clearly. Brain tumors can also press on nerves and affect brain function. Some brain diseases are genetic. [icdlist.com]
It may cause clotting of arteries (most commonly causing stroke or heart attack) as well as veins (most commonly causing deep vein thrombosis of the legs and pulmonary embolus of the lungs). [dysautonomiainternational.org]
National Institute of Neurological Disorders and Stroke. May 1, 2004 (June 2, 2004).. Santacroce, Luigi. "Paraneoplastic Syndromes." eMedicine. May 1, 2004 (June 2, 2004).. [encyclopedia.com]
[…] hyperexcitability and neuromyotonia ). [32] [33] References [ edit ] ^ Paraneoplastic Syndromes, 2011, Darnell & Posner ^ NINDS Paraneoplastic Syndromes Information Page Archived 2015-01-04 at the Wayback Machine National Institute of Neurological Disorders and Stroke [en.wikipedia.org]
- Asthenia
“Asthenia” was reported in a patient with bronchopulmonary carcinoid related Cushing’s syndrome ( 11 ) and complete resolution of the Cushing’s syndrome was reported after surgical resection of bronchopulmonary carcinoids ( 11, 14 ). [jtd.amegroups.com]
Similar to amitriptyline but less sedating Imipramine 10-300 mg Similar to amitriptyline but less sedating Desipramine 10-300 mg Similar to amitriptyline but least sedating Duloxetine 60-120 mg Nausea, dry mouth, constipation Venlafaxine XR 37.5-225 mg Asthenia [clevelandclinicmeded.com]
- Myokymia
On physical examination, myokymia was detected in both lower limbs. There was associated hyperhydrosis. The other findings were normal. His vital parameters were within normal limits. [neurologyindia.com]
Normal in 66%; Occasional changes in cortex, brainstem or cauda equina Ma syndromes: Brainstem & Cerebellar disorders Age: 58 to 63 years Clinical: Not uniform Cerebellar: trunk & extremities Brainstem: EOM limitation; Dysphagia Other: Sensory loss; Myokymia [neuromuscular.wustl.edu]
- Dysmetria
On exam, he had a positive Romberg sign which has been present for years, as well as loss of proprioception and vibration sense in both lower extremities in addition to patellar areflexia and dysmetria. [jneuro.com]
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; Ocular dysmetria [neuromuscular.wustl.edu]
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]
Serum
- Hyponatremia
Hyponatremia is one of the commonest electrolyte abnormality. Various neurological conditions including Guillain Barre syndrome could precipitate it. Very few citations in literature report SIADH in CIDP. [endocrine-abstracts.org]
446.29), painful ulcerations of the distal arms and legs Recognize clinical indicators for paraneoplastic syndromes Encephalitis (code 323.9) (i.e., inflammations of the brain or spinal cord) Encephalomyelitis (code 323.9) Endocrine disorders, e.g. hyponatremia [hcpro.com]
He also required treatment of nosocomial pneumonia and hyponatremia. Despite showing clinical improvement, he could not be weaned from the ventilator. There was no improvement with pyridostigmine administration. [neurologyindia.com]
[…] diabetes mellitus Treatments Improvement after corticosteroids in some patients Other: Plasmapheresis, IVIg Less benefit in patients with associated neoplasm Survival: 10 to 60 months; Longer than anti-Hu syndrome Other antibodies: SOX1 Laboratory: Hyponatremia [neuromuscular.wustl.edu]
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]