Breast cancer and motor neuron disease: Clinical study of seven cases

We report seven women, aged 52–78 years, with motor neuron disease (MND) associated with breast cancer. In five, cancer preceded MND by 30 years to 24 months, while in the remaining two it occurred from 8.5 years to one month after MND onset. Three patients were considered cured of their cancer at the time of the study. Four patients have died, one from associated colonic cancer, and three from MND. As in a previous report, the clinical pattern of MND in these patients was that of predominant upper motor neuron involvement in 6/7 cases. Three had frontotemporal dementia. No anti‐neuronal antibodies were found. Although there is no recognized pathophysiological link between breast cancer and UMN‐predominant MND we suggest there may be comorbidity between the two diseases.

[1]  J. Estève Erratum de l'article: “Incidence du cancer du sein en France et dans les pays développés” , 2007 .

[2]  J. Estève Incidence du cancer du sein en France et dans les pays développés , 2007 .

[3]  D. Thurman,et al.  How common are the “common” neurologic disorders? , 2007, Neurology.

[4]  H. Mitsumoto,et al.  The natural history of primary lateral sclerosis , 2006, Neurology.

[5]  R. Forbes,et al.  The epidemiology of amyotrophic lateral sclerosis (ALS/MND) in people aged 80 or over. , 2004, Age and ageing.

[6]  A. Chiò,et al.  Motor neuron disease and malignancies: results of a population-based study , 1988, Journal of Neurology.

[7]  F. Norris The remote effects of cancer on the nervous system , 2004, Zeitschrift für Neurologie.

[8]  I. Rojas-Marcos,et al.  Spectrum of Paraneoplastic Neurologic Disorders in Women with Breast and Gynecologic Cancer , 2003, Medicine.

[9]  G. Hédelin,et al.  Cancer incidence and mortality in France over the period 1978-2000. , 2003, Revue d'epidemiologie et de sante publique.

[10]  P. De Camilli,et al.  Autoimmunity to βIV spectrin in paraneoplastic lower motor neuron syndrome , 2001, Proceedings of the National Academy of Sciences of the United States of America.

[11]  B. D. Toffol,et al.  Sclérose latérale primitive et cancer du sein: syndrome neurologique paranéoplasique ou association fortuite? , 2000 .

[12]  Adriano Chiò,et al.  Patients with amyotrophic lateral sclerosis and cancer do not differ clinically from patients with sporadic amyotrophic lateral sclerosis , 2000, Journal of Neurology.

[13]  N. Silvestris,et al.  [Paraneoplastic syndromes of the central nervous system]. , 2000, La Clinica terapeutica.

[14]  P. De Camilli,et al.  A novel antineuronal antibody in a motor neuron syndrome associated with breast cancer , 1999, Neurology.

[15]  D. Forman,et al.  A reversible cause of hypercapnic respiratory failure: lower motor neuronopathy associated with renal cell carcinoma. , 1999, Chest.

[16]  V. Lennon,et al.  Paraneoplastic motor neuron disease with type 1 Purkinje cell antibodies , 1998, Muscle & nerve.

[17]  M. Rosenblum,et al.  Motor neuron syndromes in cancer patients , 1997, Annals of neurology.

[18]  C. Petito,et al.  Motor neuron disease: A paraneoplastic process associated with anti‐Hu antibody and small‐cell lung carcinoma , 1996, Annals of neurology.

[19]  L. Rowland,et al.  A Monoclonal IgA in a Patient with Amyotrophic Lateral Sclerosis Reacts with Neurofilaments and Surface Antigen on Neuroblastoma Cells , 1990, Journal of neuropathology and experimental neurology.

[20]  S. Oh,et al.  Paraneoplastic motor neuron disease and renal cell carcinoma , 1990, Neurology.

[21]  P. B. Croft The Remote Effects of Cancer on the Nervous System , 1967, Proceedings of the Royal Society of Medicine.

[22]  L. Brain,et al.  Motor neurone disease as a manifestation of neoplasm (with a note on the course of classical motor neurone disease). , 1965, Brain : a journal of neurology.

[23]  F. Norris Carcinomatous amyotrophic lateral sclerosis , 1965 .