Epilepsia partialis continua: a new manifestation of anti-Hu-associated paraneoplastic encephalomyelitis.

Abstract:

:We report on 3 anti-Hu-positive patients who presented with clinical and electroencephalographic (EEG) features of epilepsia partialis continua (EPC). Two of the patients had an associated small cell carcinoma. Magnetic resonance imaging (MRI) disclosed a hyperintense nonenhancing focal lesion in T2-weighted images in the sensorimotor area in 2 patients. Histopathological analysis of the lesion revealed inflammatory infiltrates and neuronal cell loss. In the patient who had a postmortem study, these neuropathological changes were not observed in other areas of the nervous system. This study emphasizes that the possibility of an anti-Hu-associated paraneoplastic disorder must be considered in patients with cortical encephalitis presenting with EPC when a brain tumor can be excluded.

journal_name

Ann Neurol

journal_title

Annals of neurology

authors

Shavit YB,Graus F,Probst A,Rene R,Steck AJ

doi

10.1002/1531-8249(199902)45:2<255::aid-ana18>3.0.c

subject

Has Abstract

pub_date

1999-02-01 00:00:00

pages

255-8

issue

2

eissn

0364-5134

issn

1531-8249

journal_volume

45

pub_type

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