PNMA2 and paraneoplastic neurologic syndrome: In contrast to the neuronal surface antibodies, antibodies in classical paraneoplastic neurological syndromes (PNS) bind to intracellular antigens (such as Hu, Ri, Yo or Ma2 antibodies) and therefore do not cause the neurotoxicity directly; they rather serve as valuable biomarkers for an underlying tumor, often small cell lung cancer and gynecological tumors.