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Search the bmj bmj bmj journals bmj careers bmj learning evidence centre doc2doc bmj group search this site advanced search bmj case reports: publishing, sharing and learning through experience last 7 days archive about us submit an article become a fellow help last 7 days past weeks type of case speciality eletters blog rss home > archive > article bmj case reports 2012; doi:10. 1136/bcr-03-2012-6059 rare disease paraneoplastic neurological syndrome as initial presentation of pulmonary adenocarcinoma lokesh shahani department of internal medicine, southern illinois university school of medicine, springfield, illinois, usa correspondence to dr lokesh shahani, lokesh83{at}hotmail. Com paraneoplastic neurological syndromes are defined as remote effects of cancer that are not caused by the tumour and its metastasis, or by infection, ischaemia or metabolic disruptions. half viagra pill The author reports a 63-year-old caucasian woman presenting with slowly progressing cognitive deficits. http://cocalicovalleyhs.org/cyo-buy-viagra-cheap-price-wu/ Initial workup failed to reveal any obvious cause of her cognitive deficits. buy cheap viagra Retrospective medical data review revealed a pulmonary nodule, which on further evaluation revealed pulmonary adenocarcinoma with metastatic spread to liver and spine. buy generic viagra online Mri of the brain did not reveal any metastatic lesion. viagra atenolol drug interactions Cerebrospinal fluid analysis revealed the presence of anti-hu antibody and a diagnosis of limbic encephalitis was made. price viagra vs viagra Limbic encephalitis is an inflammatory process localised to structures of the limbic system that produces cognitive impairment along with other neuropsychiatric symptoms. cheap generic viagra This case highlights the importance of considering paraneoplastic syndromes in patients presenting with cognitive deficits. viagra online without prescription Footnotes competing interests none. price viagra vs viagra Patient consent obtained. Citeulike connotea delicious digg facebook google+ mendeley reddit technorati twitter what's this? This article summary full text pdf services email this link to a friend alert me when this article is cited alert me if a correction is posted alert me when eletters are published article usage statistics similar articles in this journal similar articles in web of science similar articles in pubmed add article to my folders download to citation manager request permissions add to portfolio responses submit a response no responses published citing articles load citing article information citing articles via web of science citing articles via scopus google scholar articles by shahani, l. viagra daily in canada Search for related content pubmed pubmed citation articles by shahani, l. viagra without a doctor prescription Related content oncology neurology neurooncology load related web page information social bookmarking citeulike connotea delicious digg facebook google+ mendeley reddit technorati twitter what's this? can heart patients use viagra Top r. price viagra vs viagra Date Created: Wed Aug 1 08:20:37 2012