Atypical progressive multifocal leukoencephalopathy (PML) in a patient with pulmonary sarcoidosis

被引:3
作者
Le Guilloux, J. [1 ]
Roubiou, C. [4 ]
Mallet, J. [1 ]
Bouvry, D. [3 ]
Alkhalil, A. [1 ]
Coman, I. [1 ]
Belin, C. [1 ]
Gorochov, G. [5 ]
Carpentier, A. [2 ]
Mokhtari, K. [2 ]
Carpentier, A. -F. [1 ]
机构
[1] CHU Avicenne, Serv Neurol, F-93009 Bobigny, France
[2] CHU Pitie Salpetriere, Serv Neurochirurg, F-75013 Paris, France
[3] CHU Avicenne, Serv Pneumol, F-93009 Bobigny, France
[4] CHR Belfort Montbeliard, Serv Med Interne & Geriatrie, F-90016 Belfort, France
[5] CHU Pitie Salpetriere, Lab Immunol Cellulaire & Tissulaire, F-75013 Paris, France
关键词
Progressive multifocal leukoencephalopathy; Sarcoidosis; Contrast enhancement; Immunodepression; JC virus; HUMAN IMMUNODEFICIENCY VIRUS; CEREBROSPINAL-FLUID; INFECTED PATIENTS; NERVOUS-SYSTEM; MR-IMAGES; AIDS; ASSOCIATION; DIAGNOSIS; SURVIVAL; NEUROSARCOIDOSIS;
D O I
10.1016/j.neurol.2009.05.015
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Introduction. - Progressive multifocal leukoencephalopathy (PML) is a demyelinating disease of central nervous system due to the JC virus. PML generally occurs in immunocompromised hosts and has a fatal outcome. Observation. - We report a case of an atypical PML in a patient with pulmonary sarcoidosis: MRI showed multifocal and punctate contrast enhancements. The diagnostic was made by brain biopsy. Conclusion. - The pathophysiology of this association is probably related to the immunodepression induced by sarcoidosis. (C) 2009 Elsevier Masson SAS. All rights reserved.
引用
收藏
页码:341 / 345
页数:5
相关论文
共 33 条
  • [1] Clinical epidemiology and survival of progressive multifocal leukoencephalopathy in the era of highly active antiretroviral therapy: Data from the Italian Registry Investigative Neuro AIDS (IRINA)
    Antinori, A
    Cingolani, A
    Lorenzini, P
    Giancola, ML
    Uccella, I
    Bossolasco, S
    Grisetti, S
    Moretti, F
    Vigo, B
    Bongiovanni, M
    Del Grosso, B
    Arcidiacono, MI
    Fibbia, GC
    Mena, M
    Finazzi, MG
    Guaraldi, G
    Ammassari, A
    Monforte, AD
    Cinque, P
    De Luca, A
    [J]. JOURNAL OF NEUROVIROLOGY, 2003, 9 (Suppl 1) : 47 - 53
  • [2] Contract enhancement in progressive multifocal leukoencephalopathy:: a predictive factor for long-term survival?
    Arbusow, V
    Strupp, M
    Pfister, HW
    Seelos, KC
    Brückmann, H
    Brandt, T
    [J]. JOURNAL OF NEUROLOGY, 2000, 247 (04) : 306 - 308
  • [3] PROGRESSIVE MULTIFOCAL LEUKOENCEPHALOPATHY - A HITHERTO UNRECOGNIZED COMPLICATION OF CHRONIC LYMPHATIC LEUKAEMIA AND HODGKINS DISEASE
    ASTROM, KE
    MANCALL, EL
    RICHARDSON, EP
    [J]. BRAIN, 1958, 81 (01) : 93 - &
  • [4] Progressive multifocal leukoencephalopathy in patients with HIV infection
    Berger, JR
    Pall, L
    Lanska, D
    Whiteman, M
    [J]. JOURNAL OF NEUROVIROLOGY, 1998, 4 (01) : 59 - 68
  • [5] PROGRESSIVE MULTIFOCAL LEUKOENCEPHALOPATHY ASSOCIATED WITH HUMAN IMMUNODEFICIENCY VIRUS-INFECTION - A REVIEW OF THE LITERATURE WITH A REPORT OF 16 CASES
    BERGER, JR
    KASZOVITZ, B
    POST, MJD
    DICKINSON, G
    [J]. ANNALS OF INTERNAL MEDICINE, 1987, 107 (01) : 78 - 87
  • [6] Predictive factors for prolonged survival in acquired immunodeficiency syndrome-associated progressive multifocal leukoencephalopathy
    Berger, JR
    Levy, RM
    Flomenhoft, D
    Dobbs, M
    [J]. ANNALS OF NEUROLOGY, 1998, 44 (03) : 341 - 349
  • [7] PROGRESSIVE MULTIFOCAL LEUKOENCEPHALOPATHY
    BROOKS, BR
    WALKER, DL
    [J]. NEUROLOGIC CLINICS, 1984, 2 (02) : 299 - 313
  • [8] Neurosarcoidosis.
    Chapelon-Abric, C.
    [J]. REVUE NEUROLOGIQUE, 2006, 162 (12) : 1173 - 1188
  • [9] Diagnosis of central nervous system complications in HIV-infected patients: Cerebrospinal fluid analysis by the polymerase chain reaction
    Cinque, P
    Scarpellini, P
    Vago, L
    Linde, A
    Lazzarin, A
    [J]. AIDS, 1997, 11 (01) : 1 - 17
  • [10] DERAEDT S, 2008, NEUROLOGY, V71, P766