Paraneoplastic neurological syndromes in gynecological malignancies

Czech version

Authors: L. Janzová ^1,4; L. Minář ¹; P. Praksová ²; L. Frola ³; P. Ventruba ¹
Authors‘ workplace: Gynekologicko-porodnická klinika LF MU a FN, Brno, přednosta prof. MUDr. P. Ventruba, DrSc., MBA ¹; Neurologická klinika LF MU a FN, Brno, přednosta prof. MUDr. J. Bednařík, CSc. ²; Ústav patologie LF MU a FN, Brno, přednosta doc. MUDr. L. Křen, Ph. D. ³; Gynekologicko-porodnické oddělení nemocnice, Ivančice, primář MUDr. J. Pulkert ⁴
Published in: Ceska Gynekol 2016; 81(3): 186-191

Overview

Objective:
The demonstration of life-threatening paraneoplastic syndrome with dominant neurological symptomatology in germinal ovarian malignancy.

Design:
Literature review with case report.

Setting:
Department of Gynecology and Obstetrics, Faculty of Medicine Masaryk University and University Hospital Brno.

Methods:
The review outlines the issue of paraneoplastic syndromes. It describes the etiopathogenesis, the range of clinical symptoms, the diagnostic and therapeutic possibilities, along with a relevant case study which focuses on the paraneoplastic neurological symptoms in malignant germinal ovarian tumor.

Conclusion:
Although paraneoplastic symptomatology is rather rare, it constitutes an important part of the clinical picture of malignant tumors. In a number of cases, the paraneoplastic neurological syndrome (PNNS) symptoms precede the actual tumor diagnosis. The awareness of this connection can thus be important in early diagnostics, which in turn can significantly affect a patient‘s prognosis. Another important benefit of familiarity with the symptoms of neurological paraneoplasia is the fact that some PNNS are associated with specific tumors. Interdisciplinary cooperation is necessary in the case of PNNS for early tumor diagnostics. Treatment of the primary tumor is the key in diagnosed malignancies. With effective oncological treatment, adequate regression of paraneoplastic symptoms can be observed.

Keywords:
paraneoplastic neurological syndrome, malignant germinal ovarian tumor, anti-N-methyl-D-aspartate receptor encephalitis (anti-NMDAR encephalitis)

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