Anti-Yo positive paraneoplastic cerebellar degeneration associated with ovarian carcinoma: case report and review of the literature.

Abstract:

:Paraneoplastic cerebellar degeneration (PCD) is a rare nonmetastatic neurological complication in cancer patients. Anti-Yo is one of the anti-onconeural antibodies found in PCD patients. It is believed that anti-Yo occurs almost always in women and is most likely associated with gynecologic or breast cancers, although exceptions exist. Here we report a PCD patient with ovarian cancer having high-titer anti-Yo. The acute onset of her PCD symptoms mimicked that of a stroke. Her ovarian cancer tissue contained abundant plasma cells and lymphocytes. After a thorough review of the literature, we propose a schematic hypothesis for the autoimmune pathogenesis of PCD. Despite anecdotal case reports of neurological improvement with different combinations of treatment, including IVIg, there is still no definitely effective treatment for PCD. Further research on the pathogenesis of PCD may lead to more effective therapies.

journal_name

Gynecol Oncol

journal_title

Gynecologic oncology

authors

Cao Y,Abbas J,Wu X,Dooley J,van Amburg AL

doi

10.1006/gyno.1999.5553

subject

Has Abstract

pub_date

1999-10-01 00:00:00

pages

178-83

issue

1

eissn

0090-8258

issn

1095-6859

pii

S0090-8258(99)95553-1

journal_volume

75

pub_type

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