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Opsoclonus Myoclonus Ataxia Syndrome: A Tounge Twister

Anita Soni , Amit Rajwade1 , Divya R2 , Seeru Garg3 , Anita Soni4

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Indian Journal of Obstetrics and Gynecology 7(4):p 547-549, October-December 2019. | DOI: http://dx.doi.org/10.21088/ijog.2321.1636.7419.7

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Amit Rajwade, Divya R, Seeru Garg, et al. Opsoclonus Myoclonus Ataxia Syndrome: A Tounge Twister. Indian J Obstet Gynecol. 2019;7(4 Part-1):547–549.


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Abstract

Paraneoplastic syndrome occurs as a consequence of tumor in the body, is not due to local presence of tumor but is due to humoral response released by tumor cells or by an immune response against the tumor. It commonly arises from tumor of lung, breast, ovaries and lymphatic system. A 25 year married female with no gynaecological symptoms came with complaints of involuntary jerky movements of both eyes with weakness and numbness in bilateral upper and lower limbs and instability in gait since 1 week. She had fever 3 months back. Initially considered post viral demyelinating disease. Symptoms worsened and in suspicion of Opsoclonus- Myoclonus- Ataxia syndrome, imaging studies and tumor markers done to rule out any tumors in the body. USG showed left adnexal mass which was confirmed on PET scan to have hot spots. Left salpingo-oophorectomy done which on HPE showed benign ovarian teratoma. Post operatively she improved symptomatically.


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Cite this article

Amit Rajwade, Divya R, Seeru Garg, et al. Opsoclonus Myoclonus Ataxia Syndrome: A Tounge Twister. Indian J Obstet Gynecol. 2019;7(4 Part-1):547–549.


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DOI: http://dx.doi.org/10.21088/ijog.2321.1636.7419.7

Keywords

Opsoclonus myoclonus; Ataxia; Nulligravida; Antiepileptics; Steroids

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