TY - JOUR T1 - Stiff Person Syndrome in A Patient With Pancreatic Adenocarcinoma: An Unusual Paraneoplastic Syndrome TT - Stiff Person Syndrome in A Patient With Pancreatic Adenocarcinoma: An Unusual Paraneoplastic Syndrome AU - Nayır, E. AU - Koyuncu, M.b. AU - Erdogdu, S. AU - Ata, A. AU - Yılmaz, İ.a. AU - Arıcan, A. PY - 2015 DA - December JF - Journal of Human Rhythm PB - Ramazan AKDEMİR WT - DergiPark SN - 2149-455X SP - 123 EP - 126 VL - 1 IS - 3 LA - en AB - Stiff person syndrome(SPS) is a rare clinical condition which is characterized by progressive muscle stiffness, rigidity and muscle spasms which are worsened by emotional stres and some triggers. SPS has three variants : autoimmune, idiopathic and paraneoplastic. Paraneoplastic variant is associated with neoplasms. There is non-organ-spesifi c antibodies, butnot anti-GAD or anti-islet cell antibodies in circulation. Paraneoplastic variant was reported in patients with breast cancer and small cell lung cancer before. However, there is no report with pancreatic cancer at literature. We think that this case is the fi rst one showing the relation of SPS with pancreatic cancer. KW - Stiff person syndrome KW - paraneoplastic KW - pancreatic cancer N2 - Stiff person sendromu (SPS), progresif kas katılığı, rijiditesi ve kas spazmı ile giden, emosyonel stress ve bazı tetikleyici faktörlerle daha da kötüleşebilen nadir bir klinik durumdur. SPS’nin otoimmün, idiyopatik ve paraneoplastik olmak üzere üç varyantı vardır. Paraneoplastik tipi neoplaziler ile ilişkilidir. Paraneoplastik varyant, meme kanseri ve küçük hücreli akciğer kanserli hastalarda bildirilmiştir. Ancak literatürde pankreas kanseri ile ilişkisi bildirilmemiştir. Bu olgu sunumu ile pankreas kanserinin SPS ile ilişkisini ilk olarak gösterdiğimizi düşünmekteyiz. CR - Shaw PJ. Stiff-man syndrome and its variants. Lancet. 1999 Jan CR - ;353(9147):86-7. CR - Grimaldi LM, Martino G, Braghi S, Quattrini A, Furlan R, Bosi E, Comi G. CR - Heterogeneity of autoantibodies in stiff-man syndrome. Ann Neurol. 1993 CR - Jul;34(1):57-64. CR - De Camilli P, Thomas A, Cofiell R, Folli F, Lichte B, Piccolo G, Meinck HM, CR - Austoni M, Fassetta G, Bottazzo G, Bates D, Cartlidge N, Solimena M, CR - Kilimann MW, et al. The synaptic vesicle-associated protein amphiphysin CR - is the 128-kD autoantigen ofStiff-Man syndrome with breast cancer. J Exp CR - Med. 1993 Dec 1;178(6):2219-23. CR - Stayer C, Meinck HM. Stiff-man syndrome: an overview. Neurologia. 1998 CR - Feb;13(2):83-8. CR - Kimura, J.Electrodiagnosis is Diseases of Nerve and Muscle: Principles and CR - Practice, 2nd edition, FA Davis, Philadelphia, 1989. CR - Krishna VR, Knievel K, Ladha S, Sivakumar K. Lower extremity predominant CR - stiff-person syndrome and limbic encephalitis with amphiphysin antibodies CR - in breast cancer. J Clin Neuromuscul Dis. 2012 Dec;14(2):72-4. CR - Nguyen-Huu BK1, Urban PP, Schreckenberger M, Dieterich M, Werhahn KJ. CR - Antiamphiphysin-positive stiff-person syndrome associated with small cell CR - lung cancer. Mov Disord. 2006 Aug;21(8):1285-7. CR - Solimena M, Folli F, Aparisi R, Pozza G, De Camilli P. Autoantibodies to CR - GABA-ergic neurons and pancreatic beta cells in stiff-man syndrome. N CR - Engl J Med. 1990 May 31;322(22):1555-60. UR - https://dergipark.org.tr/tr/pub/johr/article/123745 L1 - https://dergipark.org.tr/tr/download/article-file/105565 ER -