Autopsy report of acute necrotizing opticomyelopathy associated with thyroid cancer.

Abstract:

:We report an autopsied case of paraneoplastic necrotizing myelopathy. The patient had bilateral blindness, quadriplegia, and dyspnea of acute onset and died without remission 7 weeks later. The severe tissue necrosis and demyelination were found in the optic chiasm and from the medulla oblongata throughout the whole length of spinal cord. A papillary carcinoma was found in the thyroid gland at autopsy. In the present case IgG, myelin basic protein and activated helper T cells were increased in the CSF at onset, suggesting a mechanism of autoimmune demyelination for the condition.

journal_name

J Neurol Sci

authors

Kuroda Y,Miyahara M,Sakemi T,Matsui M,Ryu T,Yamaguchi M,Sasadomi E,Sugihara H

doi

10.1016/0022-510x(93)90020-y

subject

Has Abstract

pub_date

1993-12-01 00:00:00

pages

29-32

issue

1

eissn

0022-510X

issn

1878-5883

pii

0022-510X(93)90020-Y

journal_volume

120

pub_type

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