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]
Case Report: We report the case of a 15-year-old male patient who presented with a 4 weeks history of progressive gait instability and neuropathic pain on excertion. [thieme-connect.com]
Presumptive diagnosis is based on patient history and clinical presentation. [arupconsult.com]
Musculoskeletal
- Musculoskeletal Pain
The fourth section provides in-depth coverage of specific painful conditions—neuropathic pain syndromes, psychological contributions to pain, vascular, cutaneous, and musculoskeletal pains, pain due to cancer, acute pain, pain in special populations, [books.google.com]
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]
Home | CCC | Peripheral neuropathy DDx by, last update March 28, 2019 Overview Diseases that affect the the peripheral nerves, either motor or sensory. [lifeinthefastlane.com]
[…] development of peripheral neuropathy in cancer patients. [practicalpainmanagement.com]
- 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]
- Hypesthesia
Sensory symptoms include tingling or paresthesias, increased sensation in affected areas (hypesthesia), and numbness or reduced sensation. [aafp.org]
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]
Pathogenesis also varies from direct infiltration by cancer cells, to treatment toxicity, to metabolic derangement, cachexia, infections and paraneoplastic syndromes. [thieme-connect.com]
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]
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]
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]
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]
Croft PB, Wilkinson M: The course and prognosis in some types of carcinomatous neuromyopathy. Brain 92: 1–8, 1969 PubMed Google Scholar 11. Wilkinson PC: Serological findings in carcinomatous neuromyopathy. [link.springer.com]
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
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]
Collaborative Meta-Analysis of Randomised Trials of Antiplatelet Therapy for Prevention of Death, Myocardial Infarction, and Stroke in High Risk Patients. [books.google.es]
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]
Prevention of presynaptic acetylcholine release (botulism). Accumulation of toxic metabolites (for example, in liver disease). Postganglionic abnormalities (connective tissue diseases, systemic lupus erythematosus (SLE), rheumatoid arthritis). [patient.info]