
doi: 10.1007/bf00833911
pmid: 1315382
Progressive polyradiculopathy is a rare, well-documented complication of the acquired immunodeficiency syndrome in man. It has been commonly attributed to a cytomegalovirus (CMV) infection. We report two HIV-infected patients with clinical and electrophysiological features of a unique, subacute, progressive polyradiculopathy. Post-mortem examination in case 1 disclosed an infiltration of the leptomeninges, the lumbar spinal cord, and the anterior and posterior roots by a B-cell immunoblastic lymphoma. Immunochemistry for HIV1 and CMV was negative in the peripheral and the central nervous system. Case 2 showed bone-marrow involvement by a Burkitt type lymphoma. Specific chemotherapy was followed by both clinical improvement of the polyradiculopathy and complete remission on a second bone-marrow biopsy. These findings may indicate that a lymphoma must also be considered a possible cause of polyradiculopathy in AIDS.
Adult, Male, Paraplegia, Peripheral Nervous System Diseases, Middle Aged, Burkitt Lymphoma, Diagnosis, Differential, Urinary Incontinence, Back Pain, Bone Marrow, Cytomegalovirus Infections, Diplopia, Meningeal Neoplasms, Humans, Neoplasm Invasiveness, Lymphoma, Large-Cell, Immunoblastic, Spinal Nerve Roots, Lymphoma, AIDS-Related
Adult, Male, Paraplegia, Peripheral Nervous System Diseases, Middle Aged, Burkitt Lymphoma, Diagnosis, Differential, Urinary Incontinence, Back Pain, Bone Marrow, Cytomegalovirus Infections, Diplopia, Meningeal Neoplasms, Humans, Neoplasm Invasiveness, Lymphoma, Large-Cell, Immunoblastic, Spinal Nerve Roots, Lymphoma, AIDS-Related
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