Paraneoplastic limbic encephalitis: Ovarian cancer presenting as an amnesic syndrome

Michael H. Bloch, Wei Chan Hwang, Joachim M. Baehring, Setsuko K. Chambers

Research output: Contribution to journalArticle

11 Scopus citations

Abstract

BACKGROUND:: Paraneoplastic limbic encephalitis (PLE) is a rare neurologic manifestation of malignancy. Paraneoplastic limbic encephalitis typically presents with short-term memory loss, seizures, or other limbic system abnormalities. The majority of PLE cases are associated with lung and testicular cancer. CASE:: We present the first case of PLE attributable to an epithelial ovarian cancer. The 58-year-old woman presented with rapidly progressing short-term memory loss and amnesia. The diagnosis of ovarian cancer was suspected on the basis of computed tomography scan findings. The patient showed dramatic clinical improvement within 2 weeks of debulking surgery and after the initiation of plasmapheresis and chemotherapy. CONCLUSION:: Paraneoplastic limbic encephalitis is a rare complication of ovarian tumors that is potentially reversible with prompt surgical management of the primary tumor, plasmapheresis, and chemotherapy.

Original languageEnglish (US)
Pages (from-to)1174-1177
Number of pages4
JournalObstetrics and gynecology
Volume104
Issue number5 PART 2
DOIs
StatePublished - Nov 1 2004
Externally publishedYes

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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