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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.
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页码:341 / 345
页数:5
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