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Case Reports
. 1990 Jan;20(1):51-4.
doi: 10.1016/s0163-4453(90)92324-e.

Progressive multifocal leukoencephalopathy-remission with cytarabine

T O'Riordan  1 , P A Daly, M Hutchinson, A G Shattock, S D Gardner
Affiliations
Case Reports

Progressive multifocal leukoencephalopathy-remission with cytarabine

T O'Riordan et al. J Infect. 1990 Jan.

Abstract

A 51-year-old woman who was in complete remission from non-Hodgkin's lymphoma, developed a rapidly progressive dementia. Progressive multifocal leukoencephalopathy (PML) was diagnosed on the basis of a rising antibody titre to JC polyomavirus in cerebro-spinal fluid and serum and the presence of diffuse white matter changes on magnetic resonance imaging. She was treated initially with intravenous cytarabine and showed minimal improvement. Rapid improvement occurred when intrathecal cytarabine was added and the patient is in complete remission from both lymphoma and PML 20 months later.

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