Cited by 138Cytomegalovirus and herpesvirus researchPeripheral Neuropathies and DisordersHerpesvirus Infections and Treatments

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Cytomegalovirus polyradiculoneuropathy in acquired immune deficiency syndrome.

Behar, Roger, Wiley, Clayton, McCutchan, J. Allen·1987·Neurology

DOI 10.1212/wnl.37.4.557

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Abstract

A 34-year-old homosexual man with acquired immune deficiency syndrome developed extraocular muscle deficits, chorioretinitis, and paraplegia without sensory symptoms. EMG showed severe diffuse denervation, but only mildly slowed nerve conduction velocities, in both legs. Meningitis persisted for 6 weeks and was exacerbated prior to the patient's death. Necropsy revealed subpial and subependymal cytomegalovirus (CMV) infection. Histology of ventral roots demonstrated proximal CMV infection and massive fiber loss. In this immunosuppressed patient, CMV caused a severe motor polyradiculopathy by selective destruction of the motor neurons of ventral spinal roots and motor cranial nerves.

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“In addition, CMV is well known to be able to induce syndromes which appear to be due to immunological autoreactivity [5-8], which is attributed to its ability to enhance expression of HLA class I antigens [9].”
Background
Disorders of Peripheral Nerves Associated with HIV Infection
Lange, D. J., Rubin, M., Britton, C. B., et al. (1990) · Clinics in Podiatric Medicine and Surgery · doi:10.1016/s0891-8422(23)00363-4 · Cited by 4

Authors: Behar, R., Wiley, C., & McCutchan, J. A.
Affiliations: University of California San Diego (US)
ORCID: Wiley, Clayton
McCutchan, J. Allen
Venue: Neurology
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 1987-04
Volume: 37
Issue: 4
Pages: 557-557
ISSN: 0028-3878 (ISSN-L)
1526-632X
DOI: 10.1212/wnl.37.4.557
OpenAlex: W1993224456
Cited by: 137
References: 0
Citations by year: 2023: 2 · 2022: 1 · 2019: 1 · 2018: 1 · 2017: 1 · 2016: 3 · 2015: 3 · 2014: 5 · 2013: 3 · 2012: 2
FWCI: 11.61
Type: journal article
Language: en
Open access: closed
Locations: Neurology (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Epidemiology › Cytomegalovirus and herpesvirus research
Health Sciences › Medicine › Clinical Neurology › Peripheral Neuropathies and Disorders
Health Sciences › Medicine › Infectious Diseases › Herpesvirus Infections and Treatments
Keywords: cytomegalovirus infection, polyradiculoneuropathy, AIDS, paraplegia, chorioretinitis, immunosuppression, denervation
MeSH terms: Acquired Immunodeficiency Syndrome, Adult, Cerebral Ventricles, Cranial Nerve Diseases, Cytomegalovirus Infections, Humans, Male, Oculomotor Nerve, Polyradiculoneuropathy

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Cytomegalovirus polyradiculoneuropathy in acquired immune deficiency syndrome.

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