Paraneoplastic cerebellar degeneration caused by ovarian clear-cell carcinoma

J Obstet Gynaecol Res. 2014 Feb;40(2):614-7. doi: 10.1111/jog.12212. Epub 2013 Oct 22.

Abstract

Paraneoplastic cerebellar degeneration is a paraneoplastic neurological syndrome caused by the remote effect of certain systemic cancers and is characterized by subacute cerebellar symptoms. A 62-year-old woman suffering from unidentified cerebellar symptoms was admitted to our hospital. Paraneoplastic cerebellar degeneration was suspected and ovarian cancer was detected after the systemic examination for malignancy. The symptoms of vertigo and dysarthria were improved a little after surgical operation and treatments of γ-globulin, steroid pulse and tacrolimus hydrate. The cerebellar symptoms of paraneoplastic cerebellar degeneration are often evident prior to detection of malignancy. It is important to perform systemic examination for malignancy in case of unidentified cerebellar symptoms.

Keywords: Yo antibody; ovarian cancer; paraneoplastic cerebellar degeneration; paraneoplastic neurological syndrome; tacrolimus hydrate.

Publication types

  • Case Reports

MeSH terms

  • Adenocarcinoma, Clear Cell / complications*
  • Adenocarcinoma, Clear Cell / diagnosis
  • Antibodies / blood
  • Female
  • Humans
  • Middle Aged
  • Nerve Tissue Proteins / immunology
  • Ovarian Neoplasms / complications*
  • Ovarian Neoplasms / diagnosis
  • Paraneoplastic Cerebellar Degeneration / blood
  • Paraneoplastic Cerebellar Degeneration / etiology*

Substances

  • Antibodies
  • CDR2 protein, human
  • Nerve Tissue Proteins