JC virus granule cell neuronopathy and GCN-IRIS under natalizumab treatment.

Abstract:

:Progressive multifocal leukoencephalopathy is the most common clinical presentation of JC virus (JCV)-associated central nervous system (CNS) disease and has emerged as a major safety concern in multiple sclerosis patients treated with the monoclonal antibody natalizumab. Here we report clinical, radiological, and histological findings of a case of cerebellar granule cell neuronopathy (GCN), a JCV-associated CNS disease, so far unreported amongst patients treated with natalizumab. GCN should be considered as a JCV CNS manifestation in patients with newly developed, progressive cerebellar signs under natalizumab treatment, especially in cases where cerebellar atrophy can be visualized by magnetic resonance imaging.

journal_name

Ann Neurol

journal_title

Annals of neurology

authors

Schippling S,Kempf C,Büchele F,Jelcic I,Bozinov O,Bont A,Linnebank M,Sospedra M,Weller M,Budka H,Martin R

doi

10.1002/ana.23973

subject

Has Abstract

pub_date

2013-10-01 00:00:00

pages

622-6

issue

4

eissn

0364-5134

issn

1531-8249

journal_volume

74

pub_type

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