A rare case of paraneoplastic neurological syndrome with ovarian teratoma

Authors

  • Anita Kumar Department of Obstetrics and Gynaecology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India
  • Anjali Dabral Department of Obstetrics and Gynaecology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India
  • Megha Panwar Department of Obstetrics and Gynaecology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India http://orcid.org/0000-0002-9584-1501
  • Bindu Bajaj Department of Obstetrics and Gynaecology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India
  • Sukanya Sanapala Department of Obstetrics and Gynaecology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India
  • Deepti Sharma Department of Obstetrics and Gynaecology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20222289

Keywords:

Paraneoplastic neurological syndromes, Immature teratoma, Gliomatosis peritonei, Case report

Abstract

Paraneoplastic neurological syndrome (PNS) is a neuropathological disorder of central nervous system, in this the patient presents with a tumor anywhere in the body with diverse neuropsychiatric symptoms. The clinical manifestation of the tumor may be preceded by PNS. We are reporting a case of a 23-year-old married nulliparous female who came to the gynaecology outpatient department (OPD) with the history of mass per abdomen for the past four months and also undergoing treatment for acute psychosis, memory loss and cognitive impairment for the past five months. Her symptoms were not relieved on treatment. After clinical, laboratory and radiological evaluation possibility of paraneoplastic neurological syndrome associated with ovarian teratoma was made. Patient was taken up for staging laparotomy with U/L salpingoophrectomy. After surgical treatment her psychiatric symptoms rapidly improved and her psychiatric medications doses was reduced. PNS should be suspected in female patients presenting with an acute history of neuropsychiatric symptoms. Tumor resection should be performed at the earliest to improve patient outcomes.

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Author Biography

Megha Panwar, Department of Obstetrics and Gynaecology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India

Senior resident Obs and gynae

References

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Published

2022-08-29

How to Cite

Kumar, A., Dabral, A., Panwar, M., Bajaj, B., Sanapala, S., & Sharma, D. (2022). A rare case of paraneoplastic neurological syndrome with ovarian teratoma. International Journal of Research in Medical Sciences, 10(9), 2052–2055. https://doi.org/10.18203/2320-6012.ijrms20222289

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Section

Case Reports