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We present a case of a 58-year-old female patient who had malignant mesothelioma-associated SPS. Patients who have muscle spasms and difficulty in movement of joints should be evaluated for SPS before diagnosis of Parkinson's or other neurological disorders, and possible underlying malignancies should be excluded.<\/jats:p>","DOI":"10.1136\/bcr-2013-203455","type":"journal-article","created":{"date-parts":[[2014,4,7]],"date-time":"2014-04-07T08:08:01Z","timestamp":1396858081000},"page":"bcr2013203455","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["The horses are the first thought but one must not forget the zebras even if they are rare: Stiff person syndrome associated with malignant mesothelioma"],"prefix":"10.1136","volume":"2014","author":[{"given":"Irfan","family":"Koca","sequence":"first","affiliation":[{"name":"Department of Physical Therapy and Rehabilitation, Gaziantep University, Faculty of Medicine, Gaziantep, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mehmet","family":"Ucar","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy and Rehabilitation, Yozgat Bozok University, Faculty of Medicine, Gaziantep, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mehmet Emin","family":"Kalender","sequence":"additional","affiliation":[{"name":"Department of Oncology, Gaziantep University, Faculty of Medicine, Gaziantep, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samet","family":"Alkan","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Gaziantep University, Faculty of Medicine, Gaziantep, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2014,4,7]]},"reference":[{"key":"2025082702114754000_2014.apr07_1.bcr2013203455.1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2008-1041073"},{"key":"2025082702114754000_2014.apr07_1.bcr2013203455.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaut.2011.05.005"},{"key":"2025082702114754000_2014.apr07_1.bcr2013203455.3","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.55.10.1531"},{"key":"2025082702114754000_2014.apr07_1.bcr2013203455.4","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.50.1.94"},{"key":"2025082702114754000_2014.apr07_1.bcr2013203455.5","doi-asserted-by":"publisher","DOI":"10.1002\/mds.20910"},{"key":"2025082702114754000_2014.apr07_1.bcr2013203455.6","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)66376-3"},{"key":"2025082702114754000_2014.apr07_1.bcr2013203455.7","doi-asserted-by":"crossref","first-page":"644","DOI":"10.1016\/j.clineuro.2009.04.006","article-title":"Stiff-person syndrome, type 1 diabetes, dermatitis herpetiformis, celiac disease, microcytic anemia and copper deficiency. 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