Presentation
Recent HIV infection diagnosis. Gait instability and feeling of progressive dizziness for 2 months.
Patient Data
Age: 60 years
Gender: Male
From the case:
JC virus granule cell neuronopathy
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Diffuse and symmetrical cerebellar atrophy.
Bilateral swelling and T2-FLAIR hyperintensity of cerebellar peduncles that extends towards cerebellar hemispheres.
Cruciform T2-FLAIR signal hyperintensity of the pons (hot cross bun sign).
Case Discussion
JC virus PCR assay was positive.
The case is consistent with JC virus granule cell neuronopathy.
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