Anti‐Ri‐antibodies associated paraneoplastic myelopathy revealing a woman's breast cancer: A case report

Author:

Zouari Rania12ORCID,Ben Hmid Ahlem23,Abdellatif Jihen23,Zamali Imen23,Saeid Mohamed Zakaria12,Sassi Samia Ben12,Ben Ahmed Melika23

Affiliation:

1. Department of Neurology National Institute of Neurology Mongi Ben Hmida Tunis Tunisia

2. Faculty of Medicine of Tunis University of Tunis Tunis Tunisia

3. Department of Clinical Immunology Pasteur Institute of Tunis Tunis Tunisia

Abstract

AbstractParaneoplastic myelopathy (PM) is an enigmatic immune‐mediated disorder rarely associated with breast cancer (BC) and anti‐Ri antibodies. Sometimes diagnosis is difficult due to the heterogeneity of symptoms and the timing of their onset. Herein, we report the case of a woman presenting with cervical myelopathy causing spastic left hemiplegia and painful spasms. Diagnosis of PM was confirmed through the positivity of well‐characterized onconeural antibodies (anti‐Ri) and the discovery of BC after a clinical examination and multiple investigations. We highlight, through this case, the importance of onconeural antibodies in the diagnosis of paraneoplastic neurological syndromes and associated cancer.

Publisher

Wiley

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