Paraneoplastic chorea associated with CRMP-5 neuronal antibody and lung carcinoma.

Abstract:

:Paraneoplastic chorea is described in 16 patients: 11 with limited small-cell carcinoma, 2 with lung cancer revealed by imaging, 1 with renal cell carcinoma, and 1 with lymphoma. All had CRMP-5-IgG; 6 also had ANNA-1 (anti-Hu), including 1 without evident cancer. Chorea was the initial and most prominent symptom in 11 patients, asymmetric or unilateral in 5 patients, and part of a multifocal syndrome in 14 patients. Basal ganglia abnormalities were revealed by magnetic resonance imaging and at autopsy (as perivascular inflammation and microglial activation). Four patients improved with chemotherapy, and 2 improved with intravenous methylprednisolone.

journal_name

Ann Neurol

journal_title

Annals of neurology

authors

Vernino S,Tuite P,Adler CH,Meschia JF,Boeve BF,Boasberg P,Parisi JE,Lennon VA

doi

10.1002/ana.10178

keywords:

subject

Has Abstract

pub_date

2002-05-01 00:00:00

pages

625-30

issue

5

eissn

0364-5134

issn

1531-8249

journal_volume

51

pub_type

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