Table.
Patient no. | Sex | Age, y | Neurologic symptoms | Tumor type | Radiology | Hcrt-1, pg/mL* |
---|---|---|---|---|---|---|
1 | M | 45 | EDS (altered sleep habits), depression, memory loss, seizures, abnormal weight gain | Non-seminomatous germ cell tumor of the testis | MRI: T2-weighted lesions in both mesiotemporal regions, ventricular enlargement, temporal lobe atrophy | <100 |
2 | M | 22 | Severe EDS, lethargy, depression, partial complex seizures | Mixed germ-cell tumor of the testis | MRI: left temporal enhancing abnormalities | <100 |
3† | F | 82 | Short-term memory problems, diplopia, opsoclonus, gait difficulty, personality change | Poorly differentiated lung cancer | MRI: Abnormalities in brainstem, periventricular region, and basal ganglia | 237 |
4 | F | 67 | EDS (altered sleep habits), diplopia, downgaze paresis, short-term memory problems, balance difficulties | Adenocarcinoma of the Lung | MRI: nodular enhancing abnormalities in the thalamus and superior collicular region; T2-weighted medial temporal lesions | <100 |
5 | M | 38 | Severe EDS, lethargy, abulia, hypothalamic dysfunction(hypothyroidism, diabetes insipidus, episodes of hypertermia) | Germ-cell tumor of the testis (seminoma) | MRI: lesions hippocampus, midbrain | <100 |
6 | F | 53 | Parkinsonism, dementia, vertical gaze limitation, gait difficulty | Adenocarcinoma of the Ovary | MRI: normal | 218 |
Hcrt-1 <100: concentration below detection limit of assay.
In addition to Ma2, this patient also had Ma1 antibodies.
EDS = excessive daytime sleepiness.