Double step paraneoplastic brainstem encephalitis: a clinicopathological study

@article{Vigliani2009DoubleSP,
  title={Double step paraneoplastic brainstem encephalitis: a clinicopathological study},
  author={Maria Claudia Vigliani and Domenico Novero and Paolo Cerrato and Dino Daniele and Stefania Greco Crasto and Maurizio Berardino and Roberto Mutani},
  journal={Journal of Neurology, Neurosurgery, and Psychiatry},
  year={2009},
  volume={80},
  pages={693 - 695}
}
A case of brainstem encephalitis in a man positive for both anti-Hu and anti-Ri antibodies is reported. This case had an unusual double step evolution and progressive involvement of different CNS subdivisions at MRI. Brainstem encephalitis developed abruptly, mimicking a posterior vascular deficit with vertigo and dizziness. These symptoms transiently remitted completely after a few days to relapse acutely 1 month later with sudden loss of consciousness, followed by confusion, disorientation… 
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Uszkodzenie ukladu wzrokowego, bedące odleglym nastepstwem choroby nowotworowej, zwykle objawia sie nieprawidlowymi ruchami galek ocznych lub oslabieniem ostrości wzroku i ubytkami w polu widzenia.
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