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Subacute cerebellar ataxia with amphiphysin antibody developing in a patient with follicular thyroid adenoma: a case report
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- Hirunagi Tomoki
- Department of Neurology, Japanese Red Cross Nagoya Daiichi Hospital Present address: Department of Neurology, Ogaki Municipal Hospital
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- Sato Katsunori
- Department of Endocrinology, Japanese Red Cross Nagoya Daiichi Hospital Present address: Department of Endocrinology and Diabetes, Okazaki City Hospital
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- Fujino Masahiko
- Department of Pathology, Japanese Red Cross Nagoya Daiichi Hospital
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- Tanaka Keiko
- Department of Neurology, Kanazawa Medical University Present address: Department of Cellular Neurobiology, Brain Research Institute, Niigata University
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- Goto Yoji
- Department of Neurology, Japanese Red Cross Nagoya Daiichi Hospital
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- Mano Kazuo
- Department of Neurology, Japanese Red Cross Nagoya Daiichi Hospital
Bibliographic Information
- Other Title
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- 抗amphiphysin抗体が陽性であり，甲状腺濾胞腺腫を合併した亜急性小脳失調症の1例
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Description
<p>The patient was a 61-year-old woman with thyroid enlargement since her 20s. She began to fall down repeatedly towards the end of June 2015. She was admitted to our hospital in the middle of August because of difficulty in walking. Upon admission, she presented with neck tremor and was unable to maintain a sitting position due to ataxia of the trunk and limbs. We studied serum anti-neuronal antibodies and obtained a positive result for anti-amphiphysin antibody (AMPH-Ab). Cerebrospinal fluid analysis revealed elevated protein levels and IgG index. Other than the thyroid mass, a tumor was not detected. The resected thyroid specimen showed follicular adenoma. After performing immunotherapies, the cerebrospinal fluid protein levels and IgG index decreased, and her ataxia did not progress. When subacute cerebellar ataxia is suspected, studying AMPH-Ab should be considered.</p>
Journal
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- Rinsho Shinkeigaku
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Rinsho Shinkeigaku 56 (11), 769-772, 2016
Societas Neurologica Japonica
