A 51 year old man with paraneoplastic cerebellar degeneration from gastric adenocarcinoma showed cerebellar hypermetabolism and increased perfusion on brain FDG-PET scan and SPECT during the acute stage of his illness. The patient underwent subtotal gastrectomy. The intensity of the hypermetabolism had decreased markedly on follow-up FDG-PET 3 months later following two cycles of chemotherapy. We suggest that the cerebellar hypermetabolism may have been due to an acute inflammatory process associated with an immunological reaction.
- CSF, cerebrospinal fluids
- PCD, paraneoplastic cerebellar degeneration
- cerebellar hypermetabolism
- FDG PET
- paraneoplastic cerebellar degeneration
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This work was supported by a grant (R05-2001-000-00616-0) from the Korea Science and Engineering Foundation
Competing interests: none declared
Patient details are published with consent
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