Chekanova E O, Simaniv T O, Evdokimenko A N, Zakharova M N
Research Center of Neurology, Moscow, Russia.
Zh Nevrol Psikhiatr Im S S Korsakova. 2022;122(7. Vyp. 2):89-95. doi: 10.17116/jnevro202212207289.
Paraneoplastic syndromes are a heterogeneous group of conditions affecting cancer patients, where the symptoms are not owing to the local effects of the tumor but instead owing to humoral or immunologic effects. Paraneoplastic neurological syndromes (PNS) develop in less than 1% of cancer patients and can affect any part of the nervous system. A variety of PNS phenotypes are associated with anti-Ma2 antibody, primarily encephalitis with a predominant involvement of brainstem, limbic and diencephalic structures. We describe a case of anti-Ma2 autoimmune encephalitis with a recurrent course in a patient with two different primary tumors in the anamnesis.
副肿瘤综合征是一组影响癌症患者的异质性疾病,其症状并非由肿瘤的局部效应引起,而是由体液或免疫效应所致。副肿瘤性神经系统综合征(PNS)在不到1%的癌症患者中发生,可影响神经系统的任何部位。多种PNS表型与抗Ma2抗体相关,主要是脑干、边缘系统和间脑结构受累为主的脑炎。我们描述了一例有既往史的患有两种不同原发性肿瘤的患者发生的复发性抗Ma2自身免疫性脑炎病例。