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Opercular myoclonic-anarthric status (OMASE) secondary to anti-Hu paraneoplastic neurological syndrome
被引:0
|作者:
Romero, Cesar
[1
]
Quijada, Alonso
[1
]
Abudinen, Gabriel
[1
]
Cespedes, Catherine
[1
]
Aguilera, Ledda
[1
]
机构:
[1] Univ Chile, Hosp Clin, Neurol & Neurosurg Dept, Santiago, Chile
关键词:
Paraneoplastic neurological syndrome;
Autoimmune encephalitis;
Status epilepticus;
OMASE;
Anti-Hu IgG;
GLUTAMIC-ACID DECARBOXYLASE;
EPILEPSIA PARTIALIS CONTINUA;
STATUS EPILEPTICUS;
ANTIBODIES;
D O I:
10.1016/j.ebr.2024.100703
中图分类号:
R74 [神经病学与精神病学];
学科分类号:
摘要:
Focal Opercular Myoclonic - Anarthric Status Epilepticus (OMASE) is a rare form of focal motor status epilepticus caused by several etiologies. It is characterized by fluctuating dysarthria and epileptic myoclonus involving the bilateral glossopharyngeal musculature. We present the case of a 52-year-old woman who experienced gradual and progressive paralysis and myoclonus of facial and bulbar muscles; additional tests revealed the presence of right breast ductal adenocarcinoma and positive serum anti-Hu and anti-GAD65 antibodies. High doses of steroid pulses, anti-seizure therapy, and rituximab partially controlled myoclonus; the tumor resection improved dysphagia and dysarthria.
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