原发性输卵管癌伴白质脑病的副肿瘤性脑炎
Paraneoplastic encephalitis with leukoencephalopathy in primary fallopian tube carcinoma.
作者信息
Shinagawa Austin, Barrera Nephtali, Taylor Michael, Dragicevic Natasa
机构信息
University of Nevada, Reno School of Medicine. 1664 N. Virginia Street, Reno, NV 89557, USA.
Renown Regional Medical Center, Department of Neurology, Reno, NV 89502.
出版信息
Radiol Case Rep. 2020 May 4;15(7):904-907. doi: 10.1016/j.radcr.2020.04.013. eCollection 2020 Jul.
Previous reports of paraneoplastic encephalitis occurring in primary fallopian tube carcinoma have been exclusively classified as paraneoplastic cerebellar degeneration, with MR imaging either unremarkable or demonstrating cerebellar atrophy. We report a case of paraneoplastic encephalitis in a 64-year-old female with primary fallopian tube carcinoma, reminiscent of -methyl d-aspartate receptor encephalitis, with MR imaging demonstrating bilateral subcortical and deep white matter T2-FLAIR hyperintensities sparing cerebellar and brainstem structures. To our knowledge, this represents the first reported case of noncerebellar paraneoplastic encephalitis related to primary fallopian tube carcinoma.
先前关于原发性输卵管癌伴发副肿瘤性脑炎的报道均被归类为副肿瘤性小脑变性，磁共振成像（MR）要么无异常表现，要么显示小脑萎缩。我们报告了一例64岁患有原发性输卵管癌的女性副肿瘤性脑炎病例，类似于N-甲基-D-天冬氨酸受体脑炎，MR成像显示双侧皮质下及深部白质T2-FLAIR高信号，小脑和脑干结构未受累。据我们所知，这是首例报道的与原发性输卵管癌相关的非小脑性副肿瘤性脑炎病例。
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