Paraneoplastic Limbic Encephalitis Associated with Anti-CV2/CRMP5 Antibodies Secondary to Thymoma in an Adolescent

Paraneoplastic neurological syndromes (PNS) associated with anti-CV2/CRMP5 antibodies are rare in the literature. Various clinical manifestations can occur including paraneoplastic limbic encephalitis (PLE). Thymoma is one of the rare causes that can be associated with this syndrome. It has not been...

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Main Authors: Ismail Ibrahim Ismail, John K. John, Mohamed Ibrahim, Jasem Yousef  Al-Hashel
Format: Article
Language:English
Published: Karger Publishers 2020-02-01
Series:Case Reports in Neurology
Subjects:
Online Access:https://www.karger.com/Article/FullText/505232
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author Ismail Ibrahim Ismail
John K. John
Mohamed Ibrahim
Jasem Yousef  Al-Hashel
author_facet Ismail Ibrahim Ismail
John K. John
Mohamed Ibrahim
Jasem Yousef  Al-Hashel
author_sort Ismail Ibrahim Ismail
collection DOAJ
description Paraneoplastic neurological syndromes (PNS) associated with anti-CV2/CRMP5 antibodies are rare in the literature. Various clinical manifestations can occur including paraneoplastic limbic encephalitis (PLE). Thymoma is one of the rare causes that can be associated with this syndrome. It has not been reported in the literature in children or adolescents to the best of our knowledge. We report a case of PLE in a 19-year-old male patient secondary to thymoma that was diagnosed after 5 years of onset. Anti-CV2/CRMP5 antibodies were positive in the serum and became negative after thymectomy. Diagnosis of PNS should be evoked in cases with atypical neurological manifestation and can be confirmed by the presence of onconeuronal antibodies. We report the first pediatric PLE secondary to thymoma associated with anti-CV2/CRMP5 antibodies.
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spelling doaj.art-2aef3551d80d47e69d3c57446b5bfb8d2022-12-21T18:56:41ZengKarger PublishersCase Reports in Neurology1662-680X2020-02-01121505510.1159/000505232505232Paraneoplastic Limbic Encephalitis Associated with Anti-CV2/CRMP5 Antibodies Secondary to Thymoma in an AdolescentIsmail Ibrahim IsmailJohn K. JohnMohamed IbrahimJasem Yousef  Al-HashelParaneoplastic neurological syndromes (PNS) associated with anti-CV2/CRMP5 antibodies are rare in the literature. Various clinical manifestations can occur including paraneoplastic limbic encephalitis (PLE). Thymoma is one of the rare causes that can be associated with this syndrome. It has not been reported in the literature in children or adolescents to the best of our knowledge. We report a case of PLE in a 19-year-old male patient secondary to thymoma that was diagnosed after 5 years of onset. Anti-CV2/CRMP5 antibodies were positive in the serum and became negative after thymectomy. Diagnosis of PNS should be evoked in cases with atypical neurological manifestation and can be confirmed by the presence of onconeuronal antibodies. We report the first pediatric PLE secondary to thymoma associated with anti-CV2/CRMP5 antibodies.https://www.karger.com/Article/FullText/505232limbic encephalitisonconeuronal antibodiescv2crmp5paraneoplastic syndromesthymoma
spellingShingle Ismail Ibrahim Ismail
John K. John
Mohamed Ibrahim
Jasem Yousef  Al-Hashel
Paraneoplastic Limbic Encephalitis Associated with Anti-CV2/CRMP5 Antibodies Secondary to Thymoma in an Adolescent
Case Reports in Neurology
limbic encephalitis
onconeuronal antibodies
cv2
crmp5
paraneoplastic syndromes
thymoma
title Paraneoplastic Limbic Encephalitis Associated with Anti-CV2/CRMP5 Antibodies Secondary to Thymoma in an Adolescent
title_full Paraneoplastic Limbic Encephalitis Associated with Anti-CV2/CRMP5 Antibodies Secondary to Thymoma in an Adolescent
title_fullStr Paraneoplastic Limbic Encephalitis Associated with Anti-CV2/CRMP5 Antibodies Secondary to Thymoma in an Adolescent
title_full_unstemmed Paraneoplastic Limbic Encephalitis Associated with Anti-CV2/CRMP5 Antibodies Secondary to Thymoma in an Adolescent
title_short Paraneoplastic Limbic Encephalitis Associated with Anti-CV2/CRMP5 Antibodies Secondary to Thymoma in an Adolescent
title_sort paraneoplastic limbic encephalitis associated with anti cv2 crmp5 antibodies secondary to thymoma in an adolescent
topic limbic encephalitis
onconeuronal antibodies
cv2
crmp5
paraneoplastic syndromes
thymoma
url https://www.karger.com/Article/FullText/505232
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