Anneken K, Fischera M, Evers S, Kloska S, Husstedt IW. Recurrent vacuolar myelopathy in HIV infection.
J Infect 2005;
52:e181-3. [PMID:
16274745 DOI:
10.1016/j.jinf.2005.08.023]
[Citation(s) in RCA: 13] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2005] [Accepted: 08/24/2005] [Indexed: 11/17/2022]
Abstract
OBJECTIVES
Vacuolar myelopathy is the major cause of spinal cord disease in HIV-1 infection. However, the pathogenesis remains unclear. Diagnosis is mainly based on characteristic clinical symptoms in combination with characteristic MRI changes. Usually, it is a slowly progressive chronic disease affecting HIV-infected individuals with low CD4 T-cell counts.
CASE
Here, we report an uncommon case of vacuolar myelopathy in an HIV-infected woman with recurrent clinical symptoms and MRI changes of vacuolar myelopathy and with a preserved CD4 T-cell count when symptoms occurred for the first time.
CONCLUSIONS
This is the first case, to show that vacuolar myelopathy can have relapsing-remitting clinical symptoms and MRI changes.
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