Skip to main content
Journal of Neurology, Neurosurgery, and Psychiatry logoLink to Journal of Neurology, Neurosurgery, and Psychiatry
. 1994 Aug;57(8):994–997. doi: 10.1136/jnnp.57.8.994

Cortical and subcortical JC virus infection: two unusual cases of AIDS associated progressive multifocal leukoencephalopathy.

B J Sweeney 1, H Manji 1, R F Miller 1, M J Harrison 1, F Gray 1, F Scaravilli 1
PMCID: PMC1073091  PMID: 8057128

Abstract

Two patients with AIDS and progressive neurological syndromes had necropsies that identified JC virus infection of the cerebral or cerebellar cortex. The unusual presentation of progressive multifocal leukoencephalopathy with grey matter involvement and normal cerebral imaging is discussed.

Full text

PDF
996

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. ASTROM K. E., MANCALL E. L., RICHARDSON E. P., Jr Progressive multifocal leuko-encephalopathy; a hitherto unrecognized complication of chronic lymphatic leukaemia and Hodgkin's disease. Brain. 1958 Mar;81(1):93–111. doi: 10.1093/brain/81.1.93. [DOI] [PubMed] [Google Scholar]
  2. Aksamit A. J., Gendelman H. E., Orenstein J. M., Pezeshkpour G. H. AIDS-associated progressive multifocal leukoencephalopathy (PML): comparison to non-AIDS PML with in situ hybridization and immunohistochemistry. Neurology. 1990 Jul;40(7):1073–1078. doi: 10.1212/wnl.40.7.1073. [DOI] [PubMed] [Google Scholar]
  3. Berger J. R., Kaszovitz B., Post M. J., Dickinson G. Progressive multifocal leukoencephalopathy associated with human immunodeficiency virus infection. A review of the literature with a report of sixteen cases. Ann Intern Med. 1987 Jul;107(1):78–87. doi: 10.7326/0003-4819-107-1-78. [DOI] [PubMed] [Google Scholar]
  4. Holman R. C., Janssen R. S., Buehler J. W., Zelasky M. T., Hooper W. C. Epidemiology of progressive multifocal leukoencephalopathy in the United States: analysis of national mortality and AIDS surveillance data. Neurology. 1991 Nov;41(11):1733–1736. doi: 10.1212/wnl.41.11.1733. [DOI] [PubMed] [Google Scholar]
  5. Kuchelmeister K., Bergmann M., Gullotta F. Cellular changes in the cerebellar granular layer in AIDS-associated PML. Neuropathol Appl Neurobiol. 1993 Oct;19(5):398–401. doi: 10.1111/j.1365-2990.1993.tb00460.x. [DOI] [PubMed] [Google Scholar]
  6. Miller J. R., Barrett R. E., Britton C. B., Tapper M. L., Bahr G. S., Bruno P. J., Marquardt M. D., Hays A. P., McMurtry J. G., 3rd, Weissman J. B. Progressive multifocal leukoencephalopathy in a male homosexual with T-cell immune deficiency. N Engl J Med. 1982 Dec 2;307(23):1436–1438. doi: 10.1056/NEJM198212023072307. [DOI] [PubMed] [Google Scholar]
  7. RICHARDSON E. P., Jr Progressive multifocal leukoencephalopathy. N Engl J Med. 1961 Oct 26;265:815–823. doi: 10.1056/NEJM196110262651701. [DOI] [PubMed] [Google Scholar]
  8. Sweeney B. J., Miller R. F., Harrison M. J. Progressive multifocal leucoencephalopathy. Br J Hosp Med. 1993 Aug 18;50(4):187–192. [PubMed] [Google Scholar]
  9. Tada H., Rappaport J., Lashgari M., Amini S., Wong-Staal F., Khalili K. Trans-activation of the JC virus late promoter by the tat protein of type 1 human immunodeficiency virus in glial cells. Proc Natl Acad Sci U S A. 1990 May;87(9):3479–3483. doi: 10.1073/pnas.87.9.3479. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Vazeux R., Cumont M., Girard P. M., Nassif X., Trotot P., Marche C., Matthiessen L., Vedrenne C., Mikol J., Henin D. Severe encephalitis resulting from coinfections with HIV and JC virus. Neurology. 1990 Jun;40(6):944–948. doi: 10.1212/wnl.40.6.944. [DOI] [PubMed] [Google Scholar]
  11. Whiteman M. L., Post M. J., Berger J. R., Tate L. G., Bell M. D., Limonte L. P. Progressive multifocal leukoencephalopathy in 47 HIV-seropositive patients: neuroimaging with clinical and pathologic correlation. Radiology. 1993 Apr;187(1):233–240. doi: 10.1148/radiology.187.1.8451420. [DOI] [PubMed] [Google Scholar]

Articles from Journal of Neurology, Neurosurgery, and Psychiatry are provided here courtesy of BMJ Publishing Group

RESOURCES