the MRI usually shows unilateral in America or Canada except country which is develop

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or bilateral medial temporal lobe abnor malities. Paraneoplastic cerebellar degeneration begins as
dizziness, oscillopsia, blurry or double vision, nausea, and vomiting; a few days or weeks later,
dysarthria, gait and limb ataxia, and variable dysphagia can appear. Op soclonus-myoclonus
syndrome consists of involuntary, chaotic eye movements that occur in all directions of gaze; it is
frequently associated with myoclonus and ataxia. Dorsal root ganglionopathy (sensory
neuronopathy) is characterized by sensory deficits that may be symmetric or asymmetric, painful
dysesthesias, radicular pain, and decreased or absent reflexes; all modalities of sensation can be
involved. These disorders generally respond poorly to treatment. Stabilization of symptoms or partial
neurologic improvement may occasionally occur, particu larly if there is a satisfactory response of the
tumor to treatment. The roles of plasma exchange, intravenous immunoglobulin (IVIg), and
immunosuppression have not been established. Rare pts with limbic encephalitis have shown
dramatic.