Spinal cord involvement in progressive multifocal leukoencephalopathy and immune reconstitution inflammatory syndrome.

IF 2.3 4区 医学 Q3 NEUROSCIENCES
Journal of NeuroVirology Pub Date : 2024-04-01 Epub Date: 2024-05-22 DOI:10.1007/s13365-024-01213-y
Nisrine El Moussaoui, Nicolas Lambert, Majdouline El Moussaoui, Elettra Bianchi, Philippe Léonard, Martin Moïse, Pierre Maquet
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引用次数: 0

Abstract

Progressive multifocal leukoencephalopathy (PML) is an opportunistic infectious demyelinating disease of the central nervous system caused by JC polyomavirus predominantly affecting immunocompromised individuals. Nowadays, HIV, hematological malignancies and iatrogenic immune suppression account for most PML cases. For unknown reasons, spinal cord is classically protected from PML lesions. Here, we report the course of a patient harboring spinal cord lesions in the context of PML with immune reconstitution inflammatory syndrome and review the eight other cases reported in the literature so far. Then, we discuss the evolving spectrum of PML over recent years, potentially making its diagnosis more challenging.

Abstract Image

进行性多灶性白质脑病和免疫重建炎症综合征的脊髓受累。
进行性多灶性白质脑病(PML)是一种由 JC 多瘤病毒引起的中枢神经系统机会性感染性脱髓鞘疾病,主要影响免疫力低下者。目前,大多数 PML 病例是由艾滋病病毒、血液恶性肿瘤和先天性免疫抑制引起的。由于不明原因,脊髓通常不受 PML 病变的影响。在此,我们报告了一名脊髓病变患者在 PML 伴有免疫重建炎症综合征的情况下的病程,并回顾了迄今为止文献中报告的其他 8 个病例。然后,我们讨论了近年来不断演变的 PML 病谱,这可能会使其诊断更具挑战性。
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来源期刊
Journal of NeuroVirology
Journal of NeuroVirology 医学-病毒学
CiteScore
6.60
自引率
3.10%
发文量
77
审稿时长
6-12 weeks
期刊介绍: The Journal of NeuroVirology (JNV) provides a unique platform for the publication of high-quality basic science and clinical studies on the molecular biology and pathogenesis of viral infections of the nervous system, and for reporting on the development of novel therapeutic strategies using neurotropic viral vectors. The Journal also emphasizes publication of non-viral infections that affect the central nervous system. The Journal publishes original research articles, reviews, case reports, coverage of various scientific meetings, along with supplements and special issues on selected subjects. The Journal is currently accepting submissions of original work from the following basic and clinical research areas: Aging & Neurodegeneration, Apoptosis, CNS Signal Transduction, Emerging CNS Infections, Molecular Virology, Neural-Immune Interaction, Novel Diagnostics, Novel Therapeutics, Stem Cell Biology, Transmissable Encephalopathies/Prion, Vaccine Development, Viral Genomics, Viral Neurooncology, Viral Neurochemistry, Viral Neuroimmunology, Viral Neuropharmacology.
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