Paraneoplastische sensible Polyneuropathie Denny-Brown mit nicht organischer Tetraparese
| Autor: | H. Buchner, F. Grahmann |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Pediatrics
medicine.medical_specialty medicine.diagnostic_test Limp business.industry Addiction media_common.quotation_subject Tetraparesis Neurological examination medicine.disease Functional disorder Surgery Physiology (medical) medicine Psychogenic disease Neurology (clinical) medicine.symptom business Depression (differential diagnoses) media_common Paresis |
| Zdroj: | Klinische Neurophysiologie. 40:155-158 |
| ISSN: | 1439-4081 1434-0275 |
| DOI: | 10.1055/s-0029-1220333 |
| Popis: | We report on the case of a 44-year-old female patient with a history psychiatric alcohol and drug addiction, depression, motor function disorder and a polyneuropathic syndrome with progressive gait disorder. The motor functional disorder rapidly developed to a high-degree limp paresis, for which there were no objective clinical or neurophysiological causes. It was thus classified as psychogenic and inpatient psychiatric treatment was initiated. Only in a second neurological examination was the diagnosis of a „sensory polyneuropathy of paraneoplastic origin and psychogenic tetraparesis” made. Carcinoma of the breast was discovered and then treated surgically with subsequent radiotherapy. The negative findings of anti-Hu, anti-Jo and anti-Ri antibodies in the cerebrospinal fluid could not exclude this diagnosis. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|