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Paraneoplastic chorea with leukoencephalopathy presenting with obsessive-compulsive and behavioral disorder.
Authors:Susanne Muehlschlegel  Michael S Okun  Kelly D Foote  Dominique Coco  Anthony T Yachnis  Hubert H Fernandez
Affiliation:Department of Neurology, Movement Disorders Center, University of Florida College of Medicine, Gainesville, Florida, USA. muehlschlegel@neurology.ufl.edu
Abstract:Chorea is a rare manifestation of paraneoplastic disease and is associated with CV2/CRMP-5 antibodies. Obsessive-compulsive disorder and large-scale white matter abnormalities on MRI have not been previously reported in association with these antibodies. We report on a case of CV2 paraneoplastic syndrome with obsessive-compulsive behavior preceding the motor manifestations of chorea with associated leukoencephalopathy on MRI. The literature on paraneoplastic chorea is reviewed.
Keywords:CV2 paraneoplastic antibodies  paraneoplastic chorea  obsessive–compulsive disorder  leukoencephalopathy
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