Update on Paraneoplastic Cerebellar Degeneration

<b>Purpose of review:</b> To provide an update on paraneoplastic cerebellar degeneration (PCD), the involved antibodies and tumors, as well as management strategies. <b>Recent findings:</b> PCD represents the second most common presentation of the recently established class o...

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Autores principales: Philipp Alexander Loehrer, Lara Zieger, Ole J. Simon
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Publicado: MDPI AG 2021
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spelling oai:doaj.org-article:da0a4808024c47eebf6ab585dbdd59422021-11-25T16:56:45ZUpdate on Paraneoplastic Cerebellar Degeneration10.3390/brainsci111114142076-3425https://doaj.org/article/da0a4808024c47eebf6ab585dbdd59422021-10-01T00:00:00Zhttps://www.mdpi.com/2076-3425/11/11/1414https://doaj.org/toc/2076-3425<b>Purpose of review:</b> To provide an update on paraneoplastic cerebellar degeneration (PCD), the involved antibodies and tumors, as well as management strategies. <b>Recent findings:</b> PCD represents the second most common presentation of the recently established class of immune mediated cerebellar ataxias (IMCAs). Although rare in general, PCD is one of the most frequent paraneoplastic presentations and characterized clinically by a rapidly progressive cerebellar syndrome. In recent years, several antibodies have been described in association with the clinical syndrome related to PCD; their clinical significance, however, has yet to be determined. The 2021 updated diagnostic criteria for paraneoplastic neurologic symptoms help to establish the diagnosis of PCD, direct cancer screening, and to evaluate the presence of these newly identified antibodies. Recognition of the clinical syndrome and prompt identification of a specific antibody are essential for early detection of an underlying malignancy and initiation of an appropriate treatment, which represents the best opportunity to modulate the course of the disease. As clinical symptoms can precede tumor diagnosis by years, co-occurrence of specific symptoms and antibodies should prompt continuous surveillance of the patient. <b>Summary:</b> We provide an in-depth overview on PCD, summarize recent findings related to PCD, and highlight the transformed diagnostic approach.Philipp Alexander LoehrerLara ZiegerOle J. SimonMDPI AGarticleparaneoplastic cerebellar degenerationimmune-mediated cerebellar ataxiasparaneoplastic syndromesonconeuronal antibodiesYo-antibodyTr/DNER-antibodyNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571ENBrain Sciences, Vol 11, Iss 1414, p 1414 (2021)
institution DOAJ
collection DOAJ
language EN
topic paraneoplastic cerebellar degeneration
immune-mediated cerebellar ataxias
paraneoplastic syndromes
onconeuronal antibodies
Yo-antibody
Tr/DNER-antibody
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
spellingShingle paraneoplastic cerebellar degeneration
immune-mediated cerebellar ataxias
paraneoplastic syndromes
onconeuronal antibodies
Yo-antibody
Tr/DNER-antibody
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Philipp Alexander Loehrer
Lara Zieger
Ole J. Simon
Update on Paraneoplastic Cerebellar Degeneration
description <b>Purpose of review:</b> To provide an update on paraneoplastic cerebellar degeneration (PCD), the involved antibodies and tumors, as well as management strategies. <b>Recent findings:</b> PCD represents the second most common presentation of the recently established class of immune mediated cerebellar ataxias (IMCAs). Although rare in general, PCD is one of the most frequent paraneoplastic presentations and characterized clinically by a rapidly progressive cerebellar syndrome. In recent years, several antibodies have been described in association with the clinical syndrome related to PCD; their clinical significance, however, has yet to be determined. The 2021 updated diagnostic criteria for paraneoplastic neurologic symptoms help to establish the diagnosis of PCD, direct cancer screening, and to evaluate the presence of these newly identified antibodies. Recognition of the clinical syndrome and prompt identification of a specific antibody are essential for early detection of an underlying malignancy and initiation of an appropriate treatment, which represents the best opportunity to modulate the course of the disease. As clinical symptoms can precede tumor diagnosis by years, co-occurrence of specific symptoms and antibodies should prompt continuous surveillance of the patient. <b>Summary:</b> We provide an in-depth overview on PCD, summarize recent findings related to PCD, and highlight the transformed diagnostic approach.
format article
author Philipp Alexander Loehrer
Lara Zieger
Ole J. Simon
author_facet Philipp Alexander Loehrer
Lara Zieger
Ole J. Simon
author_sort Philipp Alexander Loehrer
title Update on Paraneoplastic Cerebellar Degeneration
title_short Update on Paraneoplastic Cerebellar Degeneration
title_full Update on Paraneoplastic Cerebellar Degeneration
title_fullStr Update on Paraneoplastic Cerebellar Degeneration
title_full_unstemmed Update on Paraneoplastic Cerebellar Degeneration
title_sort update on paraneoplastic cerebellar degeneration
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/da0a4808024c47eebf6ab585dbdd5942
work_keys_str_mv AT philippalexanderloehrer updateonparaneoplasticcerebellardegeneration
AT larazieger updateonparaneoplasticcerebellardegeneration
AT olejsimon updateonparaneoplasticcerebellardegeneration
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