Assuntos
Procedimentos Endovasculares/efeitos adversos , Malformações Arteriovenosas Intracranianas/terapia , Hemorragias Intracranianas/etiologia , Mielite Transversa/etiologia , Neuromielite Óptica/etiologia , Adulto , Aquaporina 4/imunologia , Autoanticorpos/análise , Autopsia , Evolução Fatal , Humanos , Malformações Arteriovenosas Intracranianas/diagnóstico , Hemorragias Intracranianas/diagnóstico , Hemorragias Intracranianas/cirurgia , Masculino , Mielite Transversa/diagnóstico , Mielite Transversa/imunologia , Mielite Transversa/terapia , Neuromielite Óptica/diagnóstico , Neuromielite Óptica/imunologia , Neuromielite Óptica/terapia , Procedimentos Neurocirúrgicos/efeitos adversos , Reoperação , Ruptura EspontâneaRESUMO
INTRODUCTION: Paraneoplastic movement disorders are rare. Reported cases frequently describe association with anti-CV2/CRMP5 antibodies. CASE REPORT: We report a case of an 80-year-old man who developed sensorial neuronopathy, following by movement disorders mimicking chorea and obsessive-compulsive and behavioral disorders. These manifestations were first considered to be associated with a prostatic adenocarcinoma but PET and surgical biopsy revealed a mediastinal small cell lung carcinoma classically associated with anti-CV2/CRMP5 antibodies. CONCLUSION: This case demonstrates that in a context of paraneoplastic neurological syndrome, search for a classically associated cancer is necessary in order to institute adapted treatment early, even if another tumor is obvious.