Reference : Holmes tremor in a patient with progressive multifocal leukoencephalopathy.
Scientific journals : Article
Human health sciences : Neurology
http://hdl.handle.net/10993/34065
Holmes tremor in a patient with progressive multifocal leukoencephalopathy.
English
Gunness, Vimal Raj Nitish [> >]
Dooms, Georges [> >]
Wauschkuhn, Bernd [> >]
Feiden, Wolfgang [> >]
Hertel, Frank mailto [University of Luxembourg > Luxembourg Centre for Systems Biomedicine (LCSB) > >]
2014
Surgical Neurology International
5
Suppl 8
S413-5
Yes
International
2229-5097
India
[en] Brainstem ; Holmes tremor ; JC virus ; immunocompetence ; progressive multifocal leukencephalopathy
[en] BACKGROUND: Progressive multifocal leukencephalopathy (PML) is a rare, sometimes fatal viral disease in patients with primary or secondary immunosuppression. CASE DESCRIPTION: A 57-year-old immunocompetent female with intractable Holmes tremor and elongated unique brainstem lesion reported to our hospital. The cerebrospinal fluid (CSF) screening for John Cunningham virus was negative and the diagnosis was established by brain biopsy. The course was rapidly fatal. CONCLUSION: This atypical presentation of PML in an immunocompetent patient illustrates that diagnosis can be missed without brain biopsy.
http://hdl.handle.net/10993/34065
10.4103/2152-7806.140205

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