Rationale:Paraneoplastic cerebellar degeneration (PCD) is an immune-mediated neurological deficit affecting the cerebellum. Anti-Yo antibody positive PCD is a rare occurrence most likely associated with gynecologic or breast malignancies. The identification of the underlying tumor is a diagnostic challenge in many of these patients.Patient concerns:We present a 68-year-old woman with acute symptoms of PCD as a first sign of underlying occult malignancy. Further investigation revealed a positive anti-Yo antibody. Although brain magnetic resonance imaging (MRI) was unremarkable, positron emission tomography (PET)/computed tomography (CT) revealed intense hypermetabolism of cerebellum and diffused hypometabolism in the rest of brain. On 1-year follow-up, despite the primary malignancy is still unknown, her symptoms improved significantly after immunotherapy.Diagnoses:Paraneoplastic cerebellar degeneration.Interventions:The patient was given IV methylprednisolone 500 mg once a day for 5 consecutive days, followed by oral prednisone 60 mg once a day for 3 months.Outcomes:The patient's symptoms were gradually improved during the hospitalization period. On one year follow up, she was able to walk independently and perform some simple tasks.Lessons:Cerebellar hypermetabolism in PCD suspected patients may help confirming the diagnosis in an earlier stage and may predict a better outcome after immunotherapy.

We report the epitaxial growth of monolayer copper arsenide (CuAs) with a honeycomb lattice on Cu(111) by molecular beam epitaxy (MBE). Scanning tunneling microscopy (STM), low energy electron diffraction (LEED), x-ray photoelectron spectroscopy (XPS), and density functional theory (DFT) verify the 3 × 3 superlattice of monolayer CuAs on Cu(111) substrate. Angle-resolved photoemission spectroscopy (ARPES) measurements together with DFT calculations demonstrate the electronic band structures of monolayer CuAs and reveal its metallic nature. Further calculations show that charge transfer from Cu(111) substrate to monolayer CuAs lifts the Fermi level and tunes the band structure of the monolayer CuAs. This high-quality epitaxial monolayer CuAs with potential tunable band gap holds promise on the applications in nano-electronic devices.