Anti-SOX1 Antibody-Positive Paraneoplastic Syndrome Presenting with Subacute Cerebellar Degeneration and Lambert-Eaton Myasthenic Syndrome: A Case Report

Acta Neurol Taiwan. 2021 Jun:30(2):74-77.

Abstract

Purpose: Paraneoplastic neurological disorders associated with autoantibodies are rare diseases, causing abnormal manifestations in the central or peripheral nervous system separately or simultaneously. Early recognizing the occurrence of paraneoplastic syndrome can lead to prompt and effective management.

Case report: We presented a patient of subacute cerebellar degeneration with cachectic and bed-ridden status, who was proven to have positive SOX1 antibody. A coexisting Lambert-Eaton myasthenic syndrome was also documented by electrophysiological study.

Conclusion: Intensive and regular follow up for an occult malignancy is crucial in patients with SOX1 antibody. Coadministration of therapies for underlying malignancy and LEMS improve the functional disability.

Keywords: Lambert-Eaton Myasthenic syndrome SOX1 antibody.; Paraneoplastic syndrome; Subacute cerebellar degeneration.

Publication types

  • Case Reports

MeSH terms

  • Cerebellar Diseases*
  • Humans
  • Lambert-Eaton Myasthenic Syndrome* / complications
  • Lambert-Eaton Myasthenic Syndrome* / diagnosis
  • Lung Neoplasms*
  • Nerve Degeneration
  • Paraneoplastic Syndromes* / etiology

Supplementary concepts

  • Cerebellar degeneration, subacute