Schlake H P, Husstedt I W, Grotemeyer K H, Pötter R
Department of Neurology, University Hospital Münster, FRG.
Clin Neurol Neurosurg. 1989;91(4):329-35. doi: 10.1016/0303-8467(89)90010-3.
12 cases of paraneoplastic cerebellar degeneration with Hodgkin's disease have so far been reported. Three additional patients (Stage II-IA/IIA/IIIB) are presented. Although CT and MR-imaging (MRI) revealed a marked cortical atrophy of the cerebellum, there was no evidence of direct brain involvement. After irradiation and chemotherapy all patients showed a complete remission. There was no evidence of primary disease after an observation period of 3/2/5 years. Cerebellar symptoms also showed a partial remission. As compared to the literature, our treatment appears to be more favorable, probably due to the fact, that therapy was more aggressive than usual.