Paraneoplastic cerebellar degeneration secondary to ovarian carcinosarcoma: a cerebellar conundrum.
| Autor: | Birch JD; Acute Medicine and Rehabilitation Directorate, John Radcliffe Hospital, Oxford, UK., Sen A; Princes Plain Clinic, Bromley Healthcare, Bromley, UK., Rowland K; Princes Plain Clinic, Bromley Healthcare, Bromley, UK., Viner T; Princes Plain Clinic, Bromley Healthcare, Bromley, UK. |
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| Jazyk: | angličtina |
| Zdroj: | BMJ case reports [BMJ Case Rep] 2017 Aug 07; Vol. 2017. Date of Electronic Publication: 2017 Aug 07. |
| DOI: | 10.1136/bcr-2017-220544 |
| Abstrakt: | We present a case of an elderly female patient who presented with a 6-month history of progressive slurred speech, vertigo, unsteadiness and falls. She underwent an extensive battery of neurological and cardiovascular investigations, none of which demonstrated a diagnostic cause for her symptoms. She was referred to the stroke and neurology teams and was started on treatment for presumed anxiety. As her symptoms continued to progress, she was referred to the falls service. Following a multidisciplinary team discussion, she was reviewed by the consultant geriatrician who felt this may be due to a malignancy so the consultant geriatrician arranged blood testsand CT scan of her chest, abdomen and pelvis. These demonstrated a large left adnexal mass and a raised Ca-125 level. The patient was diagnosed with an ovarian tumour, which was treated surgically. A provisional diagnosis of paraneoplastic cerebellar degeneration, secondary to ovarian carcinosarcoma, was made. Competing Interests: Competing interests: None declared. (© BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.) |
| Databáze: | MEDLINE |
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