Progressive multifocal leukoencephalopathy with wallerian degeneration.
نویسندگان
چکیده
A 39-year-old male presented with slurred speech, left hand weakness, gait unsteadiness and headaches over a period of 4 weeks. A brain MRI revealed a right motor strip lesion with Wallerian degeneration along the pyramidal tract plus brain stem and cerebellar FLAIR changes without enhancement ( fig. 1 ). Laboratory findings included a CD4 count of 56, HIV viral load of 2,597 and a positive CSF PCR for JC virus. The patient rapidly decompensated and expired shortly after admission. Wallerian degeneration results from axonal disintegration following a stereotypical time course and is due to various pathologies including stroke [1, 2] and progressive multifocal leukoencephalopathy.
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ورودعنوان ژورنال:
- European neurology
دوره 66 4 شماره
صفحات -
تاریخ انتشار 2011