Bibrachial palsy due to paraneoplastic encephalomyelitis.
Bibrachial palsy is a distinctly unusual pattern of muscular weakness. We have described a woman who had a slowly progressive clinical course, with profound bibrachial palsy and neurogenic respiratory failure, but neurologically normal lower extremities. Autopsy revealed encephalomyelitis and a small previously undetected oat cell carcinoma with inflammatory infiltration. The pathologic features are consistent with an autoimmune process.
Meador
K J
KJ
Department of Neurology, University of Florida, Gainesville.
Richards
B
B
Hunter
S
S
Nichols
F T
FT
Watson
R T
RT
D001917:Brachial Plexus; D001984:Bronchial Neoplasms / Q000150:complications*; D018288:Carcinoma, Small Cell / Q000150:complications*; D004679:Encephalomyelitis / Q000150:complications* / Q000209:etiology / Q000473:pathology; D005260:Female; D006801:Humans; D008207:Lymphatic Metastasis; D008875:Middle Aged; D010243:Paralysis / Q000175:diagnosis / Q000209:etiology*