Progressive multifocal leukoencephalopathy

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Progressive multifocal leukoencephalopathy (PML) is an opportunistic viral infection of the human central nervous system. It destroys oligodendrocytes leading to neurological deficits associated with demyelination. It most commonly occurs in HIV-infected patients, but increasing numbers of patients are being recognized in the context of immunosuppressive therapies for autoimmune diseases. The precise pathogenesis of infection by JC virus, a human papovavirus remains elusive, but much has been learned since the original description of the pathologic entity PML in 1958. Detection and diagnosis of this disorder has become more sophisticated with MR imaging of the brain and spinal fluid analysis using polymerase chain reaction (PCR) techniques. Immune reconstitution inflammatory syndrome complicates reversal of immunosuppression when PML has established a foothold in the brain. No effective therapy exists, but there is hope for both better management of patients diagnosed with exogenous immunosuppression and future prospects for antiviral therapy.

Original languageEnglish (US)
Title of host publicationViral Infections of the Human Nervous System
EditorsAlan Jackson
Pages65-86
Number of pages22
DOIs
StatePublished - Jan 1 2013

Publication series

NameBirkhauser Advances in Infectious Diseases

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Keywords

  • Bizarre astrocytes
  • IRIS
  • Immunosuppressive opportunistic infection
  • Inclusion bearing oligodendrocytes
  • JC virus
  • PML
  • Progressive multifocal leukoencephalopathy

ASJC Scopus subject areas

  • Microbiology
  • Infectious Diseases

Cite this

Aksamit, A. J. (2013). Progressive multifocal leukoencephalopathy. In A. Jackson (Ed.), Viral Infections of the Human Nervous System (pp. 65-86). (Birkhauser Advances in Infectious Diseases). https://doi.org/10.1007/978-3-0348-0425-7_4