Paraneoplastic neurological syndrome (PNS) is a type of syndrome that is caused due to biochemical and immunologic factors. In patients with established breast cancer, the PNS acts as a messenger for the recurrence of a primary or secondary tumor. To stabilize the neurological devastations caused by PNS, screening, biochemical detection, and immediate treatment play a crucial role.
Case A 50-year-old lady with a previous history of breast cancer in the left breast and brain metastasis presented to the hospital for acute onset of amnesia with abnormal facial movements and recurrent mental changes. History After three years of diagnosis of breast cancer, the patient was diagnosed with brain metastasis with right hemiplegia, which was treated with 30 cycles of chemotherapy with phenytoin, prednisone, proton pump inhibitors, enoxaparin, capecitabine, and vinorelbine along with the…