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[Subacute myelitis revealed by human immunodeficiency virus infection].
- Source :
-
Revue neurologique [Rev Neurol (Paris)] 2003 May; Vol. 159 (5 Pt 1), pp. 577-80. - Publication Year :
- 2003
-
Abstract
- A 35 year-old heterosexual man had a six months history of cervical myelitis with progressive paraplegia, leg weakness and paresthesia of the four extremities. Spinal cord MRI showed a high T2 signal intramedullary lesion wide from the bulbo-medullary junction to D4. Post gadolinium T1 sequence revealed an enhancement in front of C3-C4 vertebrae. VIH serology was positive. Corticosteroid treatment achieved a marked improvement. In addition to vacuolar myelopathy, well-known at the advanced stages of the HIV infection (AIDS), myelitis and clinical pictures simulating multiple sclerosis were described during early stages of the infection. These inflammatory lesions of the central nervous system and sometimes of the peripheral nervous system seems to be related to the immune response dysfunction induced by the VIH.
- Subjects :
- Adult
Anti-Inflammatory Agents therapeutic use
Extremities physiopathology
Humans
Magnetic Resonance Imaging
Male
Myelitis, Transverse drug therapy
Neck
Paraplegia physiopathology
Paresthesia physiopathology
Steroids
HIV Infections complications
Myelitis, Transverse diagnosis
Myelitis, Transverse virology
Spinal Cord pathology
Subjects
Details
- Language :
- French
- ISSN :
- 0035-3787
- Volume :
- 159
- Issue :
- 5 Pt 1
- Database :
- MEDLINE
- Journal :
- Revue neurologique
- Publication Type :
- Academic Journal
- Accession number :
- 12773905