Table 2.
Clinical characteristic, laboratory, and neuroimaging findings of patients presenting with paraneoplastic neurological syndromes. Evaluation by use of the 2004 Paraneoplastic Neurological Syndrome Classification and the revised 2021 PNS-Care Diagnostic criteria [3,5].
Patient | Sex | Age | Syndrome | Antibody | Tumor | CSF Analysis | MRI Brain | 2004 Score | PNS Score |
---|---|---|---|---|---|---|---|---|---|
1 | F | 50 | Myasthenia gravis | AchR, Ti | Thymoma | N/A | Normal | N/A | N/A |
2 | F | 56 | Limbic encephalitis | Ma2 | Papillary thyroid carcinoma | normal | Normal | Definite | 7 |
3 | M | 87 | Limbic encephalitis | ΙgLON5 | Adenocarcinoma of prostate | normal | Small vessel disease | Definite | 3 |
4 | F | 64 | LEMS | P/Q-VGCC | Small-cell lung carcinoma | N/A | Normal | Definite | 9 |
5 | F | 70 | Myasthenia gravis | AchR | Thymoma | N/A | Normal | N/A | N/A |
6 | M | 80 | LEMS, Limbic encephalitis |
Hu, P/Q-VGCC |
Small cell lung carcinoma | Increased total protein level | T2/FLAIR hyperintensity in left mesial temporal lobe | Definite | 10 |
7 | F | 85 | Cerebellar Ataxia | Yo | Gastric adenocarcinoma | Increased total nucleated cell count & elevated total protein level | Greater degree of iron deposition in the posterior-lateral part of the lenticular nuclei and cerebellar atrophy | Definite | 6 |
8 | M | 77 | LEMS | Hu, P/Q-VGCC |
Non- small cell lung carcinoma | N/A | Normal | Definite | 10 |
9 | M | 78 | Peripheral neuropathy | Hu | Small-cell lung carcinoma | Elevated total protein level | Normal | Definite | 10 |
10 | M | 27 | Limbic encephalitis | GAD65 | Lymphohyperpla-stic disorder | Increased total nucleated cell count | Normal | Definite | 3 |
11 | F | 60 | Myasthenia gravis | AchR | Thymoma | N/A | Normal | N/A | N/A |
12 | F | 50 | Myasthenia gravis | AchR | Thymoma | N/A | Normal | N/A | N/A |
13 | M | 50 | Cerebellar Ataxia | Yo | Papillary thyroid carcinoma | Normal | Cerebellar atrophy | Definite | 6 |
Abbreviations: M = male; F = female; AchR = muscle-type acetylcholine receptor binding antibodies; Ti = titin; GAD = glutamic acid decarboxylase; P/Q-VGCC = P/Q type voltage-gated calcium channel (VGCC) antibodies, LEMS = Lambert–Eaton myasthenic syndrome; N/A = not applicable.