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Diagnostic difficulties in progressive multifocal leukoencephalopathy: a case report
Angelika Stapińska-Syniec1, Michał Sobstyl2, Katarzyna Kurowska3
1Department of Neurosurgery, Institute of Psychiatry and Neurology, Warsaw, Poland. angelika.stapinska@gmail.com.
Abstract:
Progressive multifocal leukoencephalopathy (PML) is a demyelination disease of the central nervous system (CNS) caused by viral infection with John Cunningham polyomavirus (JC virus, JCV). PML affects mainly patients with immunodeficiency. Since the diagnosis is often challenging, it requires the close cooperation of clinicians. Due to the lack of specific treatment of JCV infection leading to PML, the current treatment is based on reversing the immunosuppression. Here we present a case of a 58-year-old woman who was ultimately diagnosed with PML based on neuropathological analysis of stereotactic biopsy specimens.
Insights
Progressive multifocal leukoencephalopathy (PML) is a CNS demyelination disease caused by JC virus, often affecting immunocompromised patients. This case highlights the diagnostic challenges and neuropathological confirmation of PML via stereotactic biopsy.
Area of Science:
- Neuroimmunology
- Viral Pathogenesis
- Neuropathology
Background:
- Progressive multifocal leukoencephalopathy (PML) is a severe demyelinating disease of the central nervous system (CNS).
- PML is caused by the John Cunningham polyomavirus (JC virus, JCV) and primarily affects individuals with compromised immune systems.
- Diagnostic challenges in PML necessitate close clinical and pathological collaboration.
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