Case Challenge Part 3 (Conclusion): A Woman with Ataxia and Abnormal Uterine Bleeding

The case conclusion and discussion

The 46-year-old woman presenting with ataxia and bilateral adnexal masses (NEJM JW Neurol Mar 29 2016; [e-pub] and (NEJM JW Neurol Apr 5 2016; [e-pub]) had normal levels of carcinoembryonic antigen (CEA) and CA-19.9 but increased levels of serum CA-125 (2107 U/mL), and serum antibody testing was positive for anti-Yo antibodies. A bilateral pelvic mass resection was performed. Pathological examination revealed a poorly differentiated endometrioid adenocarcinoma of the ovary (see ). The patient then received consecutive adjuvant chemotherapy. On postoperative day 25, her slurred speech improved significantly but she continued having an ataxic gait.

Authors

Jaime Toro, MD

Disclosures

Editorial BoardsMultiple Sclerosis and Related Disorders

Jaime Toro, MD

Disclosures

Editorial BoardsMultiple Sclerosis and Related Disorders

David Cuellar-Giraldo, MD

Saúl Reyes, MD

Lina Quintero, MD

Nicolas Lemus, MD

Maria I. Reyes-Mantilla, MD

Case Challenge Part 3 (Conclusion): A Woman with Ataxia and Abnormal Uterine Bleeding

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Authors