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- Title
Hepatic epithelioid hemangioendothelioma associated with acute disseminated encephalomyelitis by a possible paraneoplastic process.
- Authors
Aktas, Adem; Probst, Daniel; Van Tine, Brian; Marlow, Kathryn
- Abstract
Epithelioid hemangioendothelioma (EHE) is a low-grade, malignant vascular neoplasm that frequently involves the liver, lungs, bone, and soft tissue. Although not commonly associated with a paraneoplastic syndrome, paraneoplastic syndromes in the setting of EHE have been reported. Acute disseminated encephalomyelitis (ADEM) is an acute, autoimmune, demyelinating disorder of the central nervous system that most commonly occurs after an infection or vaccination. We present the case of a 23 year old female who developed the acute onset of fevers, tremors, right sided hemiplegia, global aphasia, and incontinence of urine and stool. MRI demonstrated findings consistent with a demyelinating disorder and brain biopsy confirmed the diagnosis of ADEM. The patient's work up revealed multiple liver lesions which were biopsy proven EHE. This case report discusses the diagnosis and treatment of two concurrent rare disease processes and the possible association of the processes via a paraneoplastic syndrome.
- Subjects
POSTVACCINAL encephalitis; DEMYELINATION; PARANEOPLASTIC syndromes; CENTRAL nervous system; MYELIN sheath diseases; URINARY incontinence; MAGNETIC resonance imaging
- Publication
Rare Tumors, 2020, p1
- ISSN
2036-3605
- Publication type
Article
- DOI
10.1177/2036361320977012