Progressive multifocal leukoencephalopathy

Case contributed by Dr Ahmed Abd Rabou

Presentation

HIV positive patient complained of dizziness, confusion and behavioral changes.

Patient Data

Age: 45 years
Gender: Male
Modality: MRI

Bilateral deep white matter altered signal that display low signal in T1, bright signal in T2 and FLAIR without significant enhancement after contrast administration. No diffusion restriction on DWI. The signal alteration also involves the brain stem and cerebellar peduncles.

 

Case Discussion

Progressive multifocal leukoencephalopathy is demyelinating disease that results from infection by JC virus in immunocompromised patient. The prognosis is poor especially when untreated.

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Case Information

rID: 26165
Case created: 3rd Dec 2013
Last edited: 11th Dec 2015
Inclusion in quiz mode: Included

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