Summary
Progressive multifocal leucoencephalopathy was diagnosed by magnetic resonance imaging (MRI) and brain biopsy in a 44-year-old woman, for whom therapeutic trials with various antiviral agents were made. Despite early diagnosis and treatment, her neurological deterioration and extension of MRI-detectable lesions were not halted for a period of about 8 months. After the introduction of intrathecal β-interferon therapy, her neurological status and MRI findings became stable and showed minimal improvement. Early diagnosis of this fatal disorder is important and intrathecal interferon therapy should be considered.
References
Bewermyer H, Bamborschke S, Ebhardt G, Hünermann B, Heiss W-D (1985) MR imaging in adrenoleukomyeloneuropathy. J Comput Assist Tomogr 9:793–794
Bolton CF, Rozdilsky B (1971) Primary progressive multifocal leukoencephalopathy. Neurology 21:72–77
Drayer BP, Barret L (1985) Magnetic resonance imaging and CT scanning in multiple sclerosis. Ann NY Acad Sci 436:294–314
Faris AA, Martinez AJ (1972) Primary progressive multifocal leukoencephalopathy. A central nervous system disease caused by a slow virus. Arch Neurol 27:357–360
Holden EM, Tarsy D (1971) Use of 5-iodo-2′-deoxyuridine in progressive multifocal leukoencephalopathy. Neurology 21:448
Lavy JD, Cottingham KL, Campbell RJ (1986) Progressive multifocal leukoencephalopathy and magnetic resonance imaging. Ann Neurol 19:399–401
Sheldon JJ, Siddharthan R, Tobias J, Sheremata WA, Soila K, Viamonte M Jr (1985) MR imaging of multiple sclerosis: comparison with clinical and CT examinations in 74 patients. AJNR 6:683–690
Smith CR, Sima AAF, Salit IE, Gentili F (1982) Progressive multifocal leukoencephalopathy: failure of cytarabine therapy. Neurology 32:200–203
Takahashi A, Sobue I, Kono C, Hashizume Y, Ikuta F (1981) Progresive multifocal leukoencephalopathy in Japan. J Aichi Med Univ Assoc 9:82–91
Van Horn G, Bastian FO, Moake JL (1978) Progressive multifocal leukoencephalopathy: failure of response to transfer factor and cytarabine. Neurology 28:794–797
Waker DL (1978) Progressive multifocal leukoencephalopathy: an opportunistic viral infection of the central nervous system. In: Vinken PJ, Bruyn GW (eds) Handbook of clinical neurology, vol 34. Elsevier North-Holland Biomedical Press, Amsterdam, pp 307–329
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Tashiro, K., Doi, S., Moriwaka, F. et al. Progressive multifocal leucoencephalopathy with magnetic resonance imaging verification and therapeutic trials with interferon. J Neurol 234, 427–429 (1987). https://doi.org/10.1007/BF00314091
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/BF00314091