Facial pain as first manifestation of anti-Hu paraneoplastic syndrome.
The diagnosis of anti-Hu-associated encephalomyelitis/sensory neuropathy may be particularly difficult when cranial nerve involvement represents the first clinical manifestation of the disease. We report a case of a patient who presented with facial pain as the first manifestation of an anti-Hu paraneoplastic syndrome, which needs a rapid detection and treatment of the underlying tumour. We suggest that paraneoplastic neuropathy should be considered during the management of trigeminal neuropathic pain, especially when brain imagery is normal.
Demarquay
Geneviève
G
Service de Neurologie, Hôpital de la Croix-Rousse, 103, Grande Rue de la Croix-Rousse, 69004 Lyon, France. genevieve.demarquay@chu-lyon.fr
Didelot
Adrien
A
Rogemond
Véronique
V
Ryvlin
Philippe
P
Gouttard
Michel
M
Garassus
Paul
P
Mauguière
François
F
Honnorat
Jérome
J
D000368:Aged; D051959:ELAV Proteins / Q000276:immunology*; D005157:Facial Pain / Q000175:diagnosis*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000175:diagnosis / Q000276:immunology; D020364:Paraneoplastic Polyneuropathy / Q000175:diagnosis* / Q000276:immunology; D014277:Trigeminal Neuralgia / Q000175:diagnosis* / Q000276:immunology*
D051959:ELAV Proteins
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