Skip to main content
Journal of Clinical Pathology logoLink to Journal of Clinical Pathology
. 1963 Sep;16(5):405–418. doi: 10.1136/jcp.16.5.405

Progressive multifocal leucoencephalopathy and primary hypersplenism

With a note on the association between disease of the reticuloendothelial system and progressive multifocal leucoencephalopathy

V F Weinstein 1,2,3,1, A L Woolf 1,2,3, M J Meynell 1,2,3
PMCID: PMC480600  PMID: 14063324

Abstract

A patient with progressive multifocal leucoencephalopathy was found to have primary hypersplenism, a benign disorder of the reticuloendothelial system. He failed to respond to conventional doses of corticosteroids. The clinical and pathological manifestations of his illness are described, and the development of the histopathological changes in the nervous system is discussed.

Consideration of available data on progressive multifocal leucoencephalopathy reveals a striking association with disease of the reticuloendothelial system, the significance of which is discussed in relation to aetiology and treatment.

Full text

PDF

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. BRAIN W. R., NORTHFIELD D., WILKINSON M. The neurological manifestations of cervical spondylosis. Brain. 1952 Jun;75(2):187–225. doi: 10.1093/brain/75.2.187. [DOI] [PubMed] [Google Scholar]
  3. CHRISTENSEN E., FOG M. A case of Schilder's disease in an adult with remarks to the etiology and pathogenesis. Acta Psychiatr Neurol Scand. 1955;30(1-2):141–154. doi: 10.1111/j.1600-0447.1955.tb06054.x. [DOI] [PubMed] [Google Scholar]
  4. CROSBY W. H. Paroxysmal nocturnal hemoglobinuria; a specific test for the disease based on the ability of thrombin to activate the hemolytic factor. Blood. 1950 Sep;5(9):843–846. [PubMed] [Google Scholar]
  5. FISHER C. M., WILLIAMS H. W., WING E. S., Jr Combined encephalopathy and neuropathy with carcinoma. J Neuropathol Exp Neurol. 1961 Oct;20:535–547. doi: 10.1097/00005072-196120040-00004. [DOI] [PubMed] [Google Scholar]
  6. FRYKHOLM R. Lower cervical vertebrae and intervertebral discs; surgical anatomy and pathology. Acta Chir Scand. 1951;101(5):345–359. [PubMed] [Google Scholar]
  7. HEADINGTON J. T., UMIKER W. O. Progressive multifocal leukoencephalopathy. A case report. Neurology. 1962 Jun;12:434–439. doi: 10.1212/wnl.12.6.434. [DOI] [PubMed] [Google Scholar]
  8. HECKER R., REID R. T. Cerebral demyelination in Whipple's disease. Med J Aust. 1962 Feb 10;49(1):211–212. [PubMed] [Google Scholar]
  9. LEWIS S. M., SZUR L., DACIE J. V. The pattern of erythrocyte destruction in haemolytic anaemia, as studied with radioactive chromium. Br J Haematol. 1960 Apr;6:122–139. doi: 10.1111/j.1365-2141.1960.tb06224.x. [DOI] [PubMed] [Google Scholar]
  10. MOLLISON P. L. Further observations on the normal survival curve of 51 Cr-labelled red cells. Clin Sci. 1961 Aug;21:21–36. [PubMed] [Google Scholar]
  11. 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]

Articles from Journal of Clinical Pathology are provided here courtesy of BMJ Publishing Group

RESOURCES