Combined Cerebellar and Spinal Cord Deficits Caused by an Underlying Gynecologic Malignancy

Paraneoplastic cerebellar degeneration (PCD) is an uncommon autoimmune disorder targeting antigens within the nervous system and is usually associated with an underlying malignancy. Neurologic symptoms frequently precede the cancer diagnosis, which is most often seen in women with breast or gynecolo...

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Main Authors: Tamer Othman, Moshe-Samuel Hendizadeh, Ritika Vankina, Susan Park, Phyllis Kim
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Oncological Medicine
Online Access:http://dx.doi.org/10.1155/2020/9021843
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author Tamer Othman
Moshe-Samuel Hendizadeh
Ritika Vankina
Susan Park
Phyllis Kim
author_facet Tamer Othman
Moshe-Samuel Hendizadeh
Ritika Vankina
Susan Park
Phyllis Kim
author_sort Tamer Othman
collection DOAJ
description Paraneoplastic cerebellar degeneration (PCD) is an uncommon autoimmune disorder targeting antigens within the nervous system and is usually associated with an underlying malignancy. Neurologic symptoms frequently precede the cancer diagnosis, which is most often seen in women with breast or gynecologic tumors. Anti-Yo-related PCD is the most common PCD syndrome, and one of the best understood. Although cerebellar signs are characteristic of anti-Yo PCD, myelopathy is an unusual presentation of anti-Yo PCD based on published case series and reports. Unfortunately, the prognosis for anti-Yo PCD is often poor, and most patients become bedridden. We report a case highlighting a severe presentation of cerebellar degeneration along with an unusual finding of myelopathy in a patient with a newly diagnosed gynecologic cancer.
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series Case Reports in Oncological Medicine
spelling doaj-art-2dbaa7ba9c964246803406f6b63d3f432025-02-03T06:46:00ZengWileyCase Reports in Oncological Medicine2090-67062090-67142020-01-01202010.1155/2020/90218439021843Combined Cerebellar and Spinal Cord Deficits Caused by an Underlying Gynecologic MalignancyTamer Othman0Moshe-Samuel Hendizadeh1Ritika Vankina2Susan Park3Phyllis Kim4Department of Internal Medicine, Harbor-UCLA Medical Center, Torrance, CA, USADepartment of Neurology, Harbor-UCLA Medical Center, Torrance, CA, USADivision of Hematology and Medical Oncology, Harbor-UCLA Medical Center, Torrance, CA, USADivision of Gynecology Oncology, Harbor-UCLA Medical Center, Torrance, CA, USADepartment of Hematology and Oncology, Kaiser Permanente Los Angeles Medical Center, Los Angeles, CA, USAParaneoplastic cerebellar degeneration (PCD) is an uncommon autoimmune disorder targeting antigens within the nervous system and is usually associated with an underlying malignancy. Neurologic symptoms frequently precede the cancer diagnosis, which is most often seen in women with breast or gynecologic tumors. Anti-Yo-related PCD is the most common PCD syndrome, and one of the best understood. Although cerebellar signs are characteristic of anti-Yo PCD, myelopathy is an unusual presentation of anti-Yo PCD based on published case series and reports. Unfortunately, the prognosis for anti-Yo PCD is often poor, and most patients become bedridden. We report a case highlighting a severe presentation of cerebellar degeneration along with an unusual finding of myelopathy in a patient with a newly diagnosed gynecologic cancer.http://dx.doi.org/10.1155/2020/9021843
spellingShingle Tamer Othman
Moshe-Samuel Hendizadeh
Ritika Vankina
Susan Park
Phyllis Kim
Combined Cerebellar and Spinal Cord Deficits Caused by an Underlying Gynecologic Malignancy
Case Reports in Oncological Medicine
title Combined Cerebellar and Spinal Cord Deficits Caused by an Underlying Gynecologic Malignancy
title_full Combined Cerebellar and Spinal Cord Deficits Caused by an Underlying Gynecologic Malignancy
title_fullStr Combined Cerebellar and Spinal Cord Deficits Caused by an Underlying Gynecologic Malignancy
title_full_unstemmed Combined Cerebellar and Spinal Cord Deficits Caused by an Underlying Gynecologic Malignancy
title_short Combined Cerebellar and Spinal Cord Deficits Caused by an Underlying Gynecologic Malignancy
title_sort combined cerebellar and spinal cord deficits caused by an underlying gynecologic malignancy
url http://dx.doi.org/10.1155/2020/9021843
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AT ritikavankina combinedcerebellarandspinalcorddeficitscausedbyanunderlyinggynecologicmalignancy
AT susanpark combinedcerebellarandspinalcorddeficitscausedbyanunderlyinggynecologicmalignancy
AT phylliskim combinedcerebellarandspinalcorddeficitscausedbyanunderlyinggynecologicmalignancy