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A Case of Squamous Cell Lung Cancer Representing as Guillain-Barre Syndrome Associated with Monospecific Anti-GD1b IgG

Yeshin Kim, Seongheon Kim
Korean Journal of Clinical Neurophysiology 2015;17(1):31-34.
Published online: June 30, 2015
Department of Neurology, Kangwon National University School of Medicine, Chuncheon, Korea
Corresponding author:  Seongheon Kim, Tel: +82-33-258-2413 , Fax: +82-33-258-9489, 
Email: dr.kim94@gmail.com
Received: 26 November 2014   • Accepted: 3 June 2015
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We report a case with squamous cell lung cancer with concomitant Guillain-Barre syndrome (GBS) as a paraneoplastic syndrome. A 67-year-old patient who was previously diagnosed as metastatic squamous cell lung cancer developed mild symmetrical weakness, paresthesia and sensory ataxia. Nerve conduction study showed sensorimotor polyneuropathy. Analysis of cerebrospinal fluid showed high tilter for monospecific anti-GD1b IgG antibody without onconeuronal antibodies. After treatment with intravenous immunoglobulin, the patient’s symptoms improved.

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