title: Facial pain as first manifestation of anti-Hu paraneoplastic syndrome.
abstract: 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.
authors.affiliation: Service de Neurologie, Hôpital de la Croix-Rousse, 103, Grande Rue de la Croix-Rousse, 69004 Lyon, France. genevieve.demarquay@chu-lyon.fr
authors.forename: Geneviève
authors.initials: G
authors.lastname: Demarquay
authors.forename: Adrien
authors.initials: A
authors.lastname: Didelot
authors.forename: Véronique
authors.initials: V
authors.lastname: Rogemond
authors.forename: Philippe
authors.initials: P
authors.lastname: Ryvlin
authors.forename: Michel
authors.initials: M
authors.lastname: Gouttard
authors.forename: Paul
authors.initials: P
authors.lastname: Garassus
authors.forename: François
authors.initials: F
authors.lastname: Mauguière
authors.forename: Jérome
authors.initials: J
authors.lastname: Honnorat
mesh_terms: 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*
chemical_list: D051959:ELAV Proteins
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