Anti-Collapsin Response Mediator Protein 5(CV2/CRMP5) and Anti-Glutamic Acid Decarboxylase (GAD) Antibodies-Mediated Encephalopathy Mimicking Atypical Parkinsonism
2024

Encephalopathy Mimicking Atypical Parkinsonism

Sample size: 1 publication Evidence: low

Author Information

Author(s): SchirĂ² Giuseppe, Gastaldi Matteo, Iacono Salvatore, Scaranzin Silvia, Picciolo Valentina, Arnao Valentina, Ferrari Anita, Gagliardo Cesare, D’Amelio Marco

Primary Institution: Department of Biomedicine, Neuroscience and Advanced Diagnostics (BiND), University of Palermo

Hypothesis

Can paraneoplastic neurological syndromes (PNSs) with dual positivity for anti-GAD65 and anti-CRMP5/CV2 antibodies present as atypical parkinsonism?

Conclusion

The study suggests that PNS should be considered as a potential diagnosis for parkinsonism, especially when accompanied by cognitive decline or ataxia.

Supporting Evidence

  • A 68-year-old man presented with cognitive decline and parkinsonism.
  • The patient tested positive for anti-GAD65 and anti-CRMP5/CV2 antibodies.
  • A microcitoma was found in the lung during investigations.
  • Previous literature indicates that PNS can mimic degenerative parkinsonism.

Takeaway

This study talks about a 68-year-old man who had symptoms like shaking and memory problems, which turned out to be caused by a rare condition related to cancer, not just old age.

Methodology

The study involved a case report and a review of literature on PNS cases with parkinsonism associated with anti-GAD65 and anti-CRMP5/CV2 antibodies.

Limitations

The study is based on a single case report, which may limit the generalizability of the findings.

Participant Demographics

68-year-old Caucasian male.

Digital Object Identifier (DOI)

10.3390/neurolint16060132

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