PT - JOURNAL ARTICLE AU - McCabe, D. J.H. AU - Turner, N. C. AU - Chao, D. AU - Leff, A. AU - Gregson, N. A. AU - Womersley, H. J. AU - Mak, I. AU - Perkin, G. D. AU - Schapira, A. H.V. TI - Paraneoplastic “stiff person syndrome” with metastatic adenocarcinoma and anti-Ri antibodies AID - 10.1212/01.WNL.0000123694.64121.D5 DP - 2004 Apr 27 TA - Neurology PG - 1402--1404 VI - 62 IP - 8 4099 - http://n.neurology.org/content/62/8/1402.short 4100 - http://n.neurology.org/content/62/8/1402.full SO - Neurology2004 Apr 27; 62 AB - A 43-year-old woman presented with clinical and electrophysiologic features of stiff person syndrome (SPS), without abdominal or lumbar paraspinal muscle involvement. Investigations revealed metastatic adenocarcinoma of the lung with positive anti-Ri antibodies. Her clinical condition improved with diazepam, baclofen, tizanidine, and palliative chemotherapy. Screening for an underlying malignancy and anti-Ri antibodies should be considered in patients with SPS when clinical presentation is atypical.