Paraneoplastic syndrome turned out to be non-Hodgkin's lymphoma on18F-fluorodeoxyglucose positron emission tomography/computed tomography.
Paraneoplastic neurological syndromes (PNSs) are commonly encountered with underlying malignant pathology. Though anti--neuronal antibodies play a major role in the diagnosis of the underlying malignant pathology but at many times it becomes inconclusive. As early detection of the primary cause and its treatment gives the best result in such situations, there arises an early and accurate diagnostic need. We present a 65--year--old patient presenting with rapidly progressive quadriparesis with both distal and proximal involvement. With all routine work--up tests within normal limits, 18F-fluorodeoxyglucose positron emission tomography/computed tomography (PET/CT) was done which revealed multiple findings that suggested a diagnosis of lymphoma. In our case, PET/CT proved to be an important modality for finding the underlying malignant pathology in a suspected case of PNS.
Department of Nuclear Medicine, All India Institute of Medical Sciences, New Delhi, India.
Manas Kumar
MK
Sahoo
Department of Nuclear Medicine, All India Institute of Medical Sciences, New Delhi, India.
S T
ST
Arunraj
Department of Neurology, All India Institute of Medical Sciences, New Delhi, India.
Achal Kumar
AK
Srivastava
Department of Medical Oncology, All India Institute of Medical Sciences, New Delhi, India.
Ranjit Kumar
RK
Sahoo
Department of Nuclear Medicine, All India Institute of Medical Sciences, New Delhi, India.
Rakesh
R
Kumar
Department of Nuclear Medicine, All India Institute of Medical Sciences, New Delhi, India.
Chandrasekhar
C
Bal
Fluorodeoxyglucose positron emission tomography/computed tomography; non-Hodgkin's lymphoma; paraneoplastic neurological syndrome