Atypical presentation of anti-Ma2-associated encephalitis with choreiform movement

Ma2 antibody-associated encephalitis is an inflammatory brain disease that associates with a systemic tumor in more than 90% of patients, most commonly a testicular germ-cell tumor, lung cancer, or breast cancer. The Ma2 antibody-mediated autoimmune encephalitis presents mostly as limbic, mesodiencephalic, or brain stem encephalitis. Cranial MRI often detects T2-hyperintense lesions that may progress to atrophy. However, other areas of the CNS, such as the brainstem, the thalamus, the hypothalamus, the cerebellum, or the basal ganglia may also be affected. Approximately one-third of patients with Ma2 antibody-associated encephalitis initially show no abnormalities in MRI. Roughly two-thirds of cases present abnormalities in the CSF, such as pleocytosis, protein increase, and positive oligoclonal bands.1 In cases of paraneoplastic encephalitis, tumor therapy is crucial for improvement and prognosis. Immunotherapy using high-dose IV steroids, IV immunoglobulins, plasma exchange, rituximab, and cyclophosphamide is recommended.2,3 Here, we present an unusual clinical presentation of a Ma2-associated autoimmune encephalitis.
Source: Neurology Neuroimmunology and Neuroinflammation - Category: Neurology Authors: Tags: Chorea Clinical/Scientific Notes Source Type: research

Related Links:

Authors: Pucci C, Martinelli C, Ciofani G Abstract Every year, cancer is responsible for millions of deaths worldwide and, even though much progress has been achieved in medicine, there are still many issues that must be addressed in order to improve cancer therapy. For this reason, oncological research is putting a lot of effort towards finding new and efficient therapies which can alleviate critical side effects caused by conventional treatments. Different technologies are currently under evaluation in clinical trials or have been already introduced into clinical practice. While nanomedicine is contributing to th...
Source: Ecancermedicalscience - Category: Cancer & Oncology Tags: Ecancermedicalscience Source Type: research
Authors: Li X, Wu N, Ji H, Huang Y, Hu H, Li J, Mi S, Duan S, Chen X Abstract The AGTR1 gene encodes angiotensin II receptor type 1, which is involved in cardiovascular diseases such as coronary heart disease (CHD). In the current study, we analyzed AGTR1 methylation level in a Han Chinese population by SYBR green-based quantitative methylation-specific PCR (qMSP). We collected blood samples from 761 CHD patients and 398 non-CHD controls at the Ningbo First Hospital. A data mining analysis was also performed to explore the association between AGTR1 methylation and AGTR1 gene expression, using datasets from the cBio...
Source: Bosnian Journal of Basic Medical Sciences - Category: General Medicine Tags: Bosn J Basic Med Sci Source Type: research
This study provides valuable experimental evidence for clinical MM therapy. PMID: 31538911 [PubMed - as supplied by publisher]
Source: Bosnian Journal of Basic Medical Sciences - Category: General Medicine Tags: Bosn J Basic Med Sci Source Type: research
Many radiologists are concerned that mammography information provided by referring physicians is confusing for patients, and they want to be more involved in screening-related discussions, according to a  studyrecently published in theJournal of Breast Imaging. The group of researchers led by Shadi Aminololama-Shakeri, MD,Chief of Breast Imaging Section at theUniversity of California Davis in Sacramento, California found thatthere is a wide variety of breast cancer screening guidelines across professional societies, and the lack of uniformity makes understanding the purpose of mammography confusing and frustratin...
Source: radRounds - Category: Radiology Authors: Source Type: blogs
Magnetic resonance imaging (MRI) could be a successful technology for understanding the severity ofmeningioma, according to a  studyrecently published inClinical Radiology. Determining if meningioma is high grade or low grade can help physicians decide how the tumor should be managed. Researchers from the American University Beirut Medical Center ventured to find out if MRI could help identify the meningioma grade before it ’s removed from the patient, making surgery easier and safer. The researchers analyzed scans of 71 patients who had undergone surgeries to remove intracranial meningiomas at America...
Source: radRounds - Category: Radiology Authors: Source Type: blogs
ConclusionMR Esophagography might become a non-invasive, non-irradiating technique of choice following diagnostic esophagogastroduodenoscopy for the assessment of esophageal diseases.
Source: European Journal of Radiology - Category: Radiology Source Type: research
ConclusionIn breast cancer, D and f values show significant differences according to TSR, and D value is lower in collagen dominant type than in fibroblast dominant or lymphocyte dominant types.
Source: European Journal of Radiology - Category: Radiology Source Type: research
Abstract Traditional tobacco products have well-known systemic and local oral effects, including inflammation, vasoconstriction, delayed wound healing, and increased severity of periodontal disease. Specifically in the oral cavity and the lung, cigarette smoking produces cancer, increased infectivity, acute and chronic inflammation, changes in gene expression in epithelial lining cells, and microbiome changes. In recent years, cigarette smoking has greatly decreased in the United States, but the use of new tobacco products has gained tremendous popularity. Without significant knowledge of the oral sequelae of prod...
Source: Adv Dent Res - Category: Dentistry Authors: Tags: Adv Dent Res Source Type: research
Abstract Electronic nicotine delivery systems (ENDS) are devices that contain a power source, a heating element, and a tank or cartridge containing an "e-liquid," which is a mixture of nicotine and flavoring in a glycerol-propylene glycol vehicle. Their increasing popularity among adolescents might be attributed to aggressive marketing in physical venues, social media outlets, as well as irreversible changes caused by nicotine in the developing brains of youth and young adults, predisposing them to addictive behaviors. Adolescent ENDS users were 4 times more likely to initiate cigarette smoking, and the ...
Source: Adv Dent Res - Category: Dentistry Authors: Tags: Adv Dent Res Source Type: research
Abstract Regulatory policy toward tobacco significantly affects oral health because tobacco use is a driver of diseases that manifest themselves in or near the oral cavity. Tobacco use in the United States has been associated with millions of cases of periodontal disease. Researchers have identified the role of combusted and noncombusted tobacco products in promoting cancers of the head and neck, leading to disease and premature death. Tobacco companies have moved increasingly toward so-called next-generation products (NGPs)-products that may emit fewer toxins than combustible forms of tobacco. Although NGPs may n...
Source: Adv Dent Res - Category: Dentistry Authors: Tags: Adv Dent Res Source Type: research
More News: Autoimmune Disease | Brain | Brain Cancers | Breast Cancer | Cancer | Cancer & Oncology | Cerebellum | Encephalitis | Germ Cell Tumors | Immunotherapy | Lung Cancer | Neurology | Neuroscience | Paraneoplastic Syndrome | Rituxan