Paraneoplastic syndrome turned out to be non-Hodgkin's lymphoma on F-18-fluorodeoxyglucose positron emission tomography/computed tomography

Paraneoplastic neurological syndromes (PNSs) are commonly encountered with underlying malignant pathology. Though anti-neuronal antibodies play a major role in the diagnosis of the underlying malignant pathology but at many times it becomes inconclusive. As early detection of the primary cause and its treatment gives the best result in such situations, there arises an early and accurate diagnostic need. We present a 65-year-old patient presenting with rapidly progressive quadriparesis with both distal and proximal involvement. With all routine work-up tests within normal limits, F-18-fluorodeoxyglucose positron emission tomography/computed tomography (PET/CT) was done which revealed multiple findings that suggested a diagnosis of lymphoma. In our case, PET/CT proved to be an important modality for finding the underlying malignant pathology in a suspected case of PNS.