RE: Subject: Re: New-comer - Observations and Questions

April 16, 2002

Hi Fred,

Testing for Paraneoplastic cerebellar degeneration should be part of the

standard lab workup for anyone presenting with sporadic cerebellar symptoms.

See the section called " Workup " here:

Note that lung cancers are also the cause of PCD, not just ovarian cancers

in women.

These tests should be done to rule out various causes for cerebellar

symptoms which have a definite treatment available.

I'm also reposting the Sporadic Ataxia: Diagnostic Plan recommended by Dr.

Mark Hallett,Chief of the Human Motor Control Lab at the NIH.

Regards,

Pam

Re: New-comer - Observations and Questions

Hi Pam,

Many thanks for your very helpful message. I am sorry I couldn't answer

earlier, but I have been away.

I am still weighing up the pros and cons of have genetic tests.

Is there any particular reason why you think the doctors should attempt to

rule out PCD in my case? I have looked at the web site, and it doesn't seem

to fit me.

Regards,

Fred

> In digest 1374 Pam Bower wrote:

>

> It sounds to me like you have hit the main sites for information on

cerebellar atrophy or ataxia.

>

> I'm curious what genetic tests you've had done to this point. Have they

checked you for Friedreich's? It's rare as a late

> onset but not unheard of.

>

> And here's something your doctors should attempt to rule out in your case:

>

> Paraneoplastic Cerebellar Degeneration

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