A case of Progressive Multifocal Leukoencephalopathy in a HIV patient

Progressive Multifocal Leukoencephalopathy is a demyelinating disease of the brain which occurs as a result of reactivation of JC (John Cunningham) virus. It is the most common manifestation of JC virus and is typically seen in patients with an immunocompromised status. Here we will be disc...

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Main Authors: . Aashish, Anil Kumar Sakalecha, Ravindra Naik, A Chaithanya, G R Varshitha, R B Revanth
Format: Article
Language:English
Published: Sri Devaraj Urs Academy of Higher Education and Research 2022-06-01
Series:Journal of Clinical and Biomedical Sciences
Online Access:https://jcbsonline.ac.in/articles/a-case-of-progressive-multifocal-leukoencephalopathy-in-a-hiv-patient
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author . Aashish
Anil Kumar Sakalecha
Ravindra Naik
A Chaithanya
G R Varshitha
R B Revanth
author_facet . Aashish
Anil Kumar Sakalecha
Ravindra Naik
A Chaithanya
G R Varshitha
R B Revanth
author_sort . Aashish
collection DOAJ
description Progressive Multifocal Leukoencephalopathy is a demyelinating disease of the brain which occurs as a result of reactivation of JC (John Cunningham) virus. It is the most common manifestation of JC virus and is typically seen in patients with an immunocompromised status. Here we will be discussing about a 47 years old male patient who presented with altered sensorium and a past history of weakness in the right upper & lower limbs. Also, patient was found to be retropositive recently. He was referred to the department of Radio diagnosis for MRI (Magnetic Resonance Imaging) for further evaluation. The patient had multiple, asymmetric, white matter lesions in bilateral cerebral hemispheres, midbrain and even cerebellum. In the later course of the disease, the patient lost consciousness and ultimately succumbed to death due to multiorgan failure. The typical features of PML, followed by the role of imaging in diagnosis of PML and its peculiar features to differentiate from other similar white matter lesions of the brain are discussed. Keywords: Progressive Multifocal Leukoencephalopathy, subcortical U-fibers, HIV, Barbell sign
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institution Kabale University
issn 2231-4180
2319-2453
language English
publishDate 2022-06-01
publisher Sri Devaraj Urs Academy of Higher Education and Research
record_format Article
series Journal of Clinical and Biomedical Sciences
spelling doaj-art-437a7b6a09d7462ebc4ca51d2b1ba0a32025-08-20T03:40:14ZengSri Devaraj Urs Academy of Higher Education and ResearchJournal of Clinical and Biomedical Sciences2231-41802319-24532022-06-01122717410.58739/jcbs/v12i2.2A case of Progressive Multifocal Leukoencephalopathy in a HIV patient. AashishAnil Kumar SakalechaRavindra Naik A Chaithanya G R Varshitha R B Revanth Progressive Multifocal Leukoencephalopathy is a demyelinating disease of the brain which occurs as a result of reactivation of JC (John Cunningham) virus. It is the most common manifestation of JC virus and is typically seen in patients with an immunocompromised status. Here we will be discussing about a 47 years old male patient who presented with altered sensorium and a past history of weakness in the right upper & lower limbs. Also, patient was found to be retropositive recently. He was referred to the department of Radio diagnosis for MRI (Magnetic Resonance Imaging) for further evaluation. The patient had multiple, asymmetric, white matter lesions in bilateral cerebral hemispheres, midbrain and even cerebellum. In the later course of the disease, the patient lost consciousness and ultimately succumbed to death due to multiorgan failure. The typical features of PML, followed by the role of imaging in diagnosis of PML and its peculiar features to differentiate from other similar white matter lesions of the brain are discussed. Keywords: Progressive Multifocal Leukoencephalopathy, subcortical U-fibers, HIV, Barbell signhttps://jcbsonline.ac.in/articles/a-case-of-progressive-multifocal-leukoencephalopathy-in-a-hiv-patient
spellingShingle . Aashish
Anil Kumar Sakalecha
Ravindra Naik
A Chaithanya
G R Varshitha
R B Revanth
A case of Progressive Multifocal Leukoencephalopathy in a HIV patient
Journal of Clinical and Biomedical Sciences
title A case of Progressive Multifocal Leukoencephalopathy in a HIV patient
title_full A case of Progressive Multifocal Leukoencephalopathy in a HIV patient
title_fullStr A case of Progressive Multifocal Leukoencephalopathy in a HIV patient
title_full_unstemmed A case of Progressive Multifocal Leukoencephalopathy in a HIV patient
title_short A case of Progressive Multifocal Leukoencephalopathy in a HIV patient
title_sort case of progressive multifocal leukoencephalopathy in a hiv patient
url https://jcbsonline.ac.in/articles/a-case-of-progressive-multifocal-leukoencephalopathy-in-a-hiv-patient
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