Cerebellar Involvement in an Immunocompetent Patient Presenting with Progressive Multifocal Leukoencephalopathy
Rafael Garcia-Carretero1, Blanca San Jose Montano2
1Department of Internal Medicine, Mostoles University Hospital, Madrid, Spain.
Insights
Progressive multifocal leukoencephalopathy (PML) is a rare demyelinating disease. This case highlights a PML presentation in an 83-year-old immunocompetent male with severe cerebellar symptoms, despite no identifiable immunosuppression.
Area of Science:
- Neurology
- Virology
- Immunology
Background:
- Progressive multifocal leukoencephalopathy (PML) is a severe demyelinating disease.
- PML is typically caused by JC virus reactivation in immunosuppressed individuals.
- Rare cases of PML in immunocompetent patients without identifiable immunodeficiency have been reported.
Abstract:
Progressive multifocal leukoencephalopathy (PML) is a demyelinating disease caused by the JC virus, a polyomavirus that can be reactivated under certain immunosuppressive conditions, such as AIDS, immunomodulatory therapy, and haematological malignancies. However, a few cases of immunocompetent patients have been reported in which no immunodeficiency was present. We describe the case of an 83-year-old immunocompetent man who presented with severe cerebellar symptoms with an MRI scan suggestive of severe demyelinating disease. We were not able to identify any occult immunosuppression or malignancy in our patient.
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