Brainstem and limbic encephalitis with paraneoplastic neuromyelitis optica
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作者:
Moussawi, Khaled
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Brigham & Womens Hosp, Dept Neurol, Boston, MA 02115 USA
Massachusetts Gen Hosp, Dept Neurol, Wang Ambulatory Care Ctr, Boston, MA 02114 USA
Harvard Univ, Sch Med, Boston, MA USABrigham & Womens Hosp, Dept Neurol, Boston, MA 02115 USA
Moussawi, Khaled
[1
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Lin, David J.
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机构:
Brigham & Womens Hosp, Dept Neurol, Boston, MA 02115 USA
Massachusetts Gen Hosp, Dept Neurol, Wang Ambulatory Care Ctr, Boston, MA 02114 USA
Harvard Univ, Sch Med, Boston, MA USABrigham & Womens Hosp, Dept Neurol, Boston, MA 02115 USA
Lin, David J.
[1
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]
Matiello, Marcelo
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机构:
Brigham & Womens Hosp, Dept Neurol, Boston, MA 02115 USA
Massachusetts Gen Hosp, Dept Neurol, Wang Ambulatory Care Ctr, Boston, MA 02114 USA
Harvard Univ, Sch Med, Boston, MA USABrigham & Womens Hosp, Dept Neurol, Boston, MA 02115 USA
Matiello, Marcelo
[1
,2
,3
]
Chew, Sheena
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机构:
Brigham & Womens Hosp, Dept Neurol, Boston, MA 02115 USA
Massachusetts Gen Hosp, Dept Neurol, Wang Ambulatory Care Ctr, Boston, MA 02114 USA
Harvard Univ, Sch Med, Boston, MA USABrigham & Womens Hosp, Dept Neurol, Boston, MA 02115 USA
Chew, Sheena
[1
,2
,3
]
Morganstern, Daniel
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机构:
Harvard Univ, Sch Med, Boston, MA USA
Dana Farber Canc Inst, Boston, MA 02115 USABrigham & Womens Hosp, Dept Neurol, Boston, MA 02115 USA
Morganstern, Daniel
[3
,4
]
Vaitkevicius, Henrikas
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机构:
Brigham & Womens Hosp, Dept Neurol, Boston, MA 02115 USA
Harvard Univ, Sch Med, Boston, MA USABrigham & Womens Hosp, Dept Neurol, Boston, MA 02115 USA
Vaitkevicius, Henrikas
[1
,3
]
机构:
[1] Brigham & Womens Hosp, Dept Neurol, Boston, MA 02115 USA
[2] Massachusetts Gen Hosp, Dept Neurol, Wang Ambulatory Care Ctr, Boston, MA 02114 USA
The spectrum of disorders associated with anti-neuromyelitis optica (NMO) antibody is being extended to include infrequent instances associated with cancer. We describe a patient with brainstem and limbic encephalitis from NMO-immunoglobulin G in serum and cerebrospinal fluid in the context of newly diagnosed breast cancer. The neurological features markedly improved with excision of her breast cancer and immune suppressive therapy. This case further broadens the NMO spectrum disorders (NMOSD) by an association between NMOSD and cancer and raises the question of coincidental occurrence and the appropriate circumstances to search for a tumor in certain instances of NMO. (C) 2015 Elsevier Ltd. All rights reserved.
机构:
Hull Royal Infirm, Dept Neurol, Kingston Upon Hull HU3 2JZ, N Humberside, EnglandHull Royal Infirm, Dept Neurol, Kingston Upon Hull HU3 2JZ, N Humberside, England