Resumen

HENS, M.J. et al. Renal cell carcinoma presenting as paraneoplastic neurological dysfunction. Actas Urol Esp [online]. 2008, vol.32, n.6, pp.645-648. ISSN 0210-4806.

Introduction: Malignant tumors sometimes initiate as paraneoplastic syndromes even years before the most common symptoms appear. These first manifestations could be the key for the diagnosis of "occult" malignancy. Methods: We report the case of a 66 year old man with a renal cell carcinoma. The first symptom was a paraneoplastic cerebellar degeneration appeared 6 years before the first urologic manifestations. Conclusions: A progressive cerebellar syndrome could be the first manifestation of a renal cell carcinoma, even years before the first urologic symptoms. We must suspect an occult neoplasia in such patients.

Palabras clave : Carcinoma; Renal cell; Cerebellum; Cerebellar diseases; Paraneoplastic cerebellar degeneration; Ataxia.

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