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  Progressive Multifocal Leukoencephalopathy 
  
Reviewed  05-29-2002  

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What is Progressive Multifocal Leukoencephalopathy?
Is there any treatment?
What is the prognosis?
What research is being done?

Organizations

What is Progressive Multifocal Leukoencephalopathy?
Progressive multifocal leukoencephalopathy (PML) is an infrequent disorder of the nervous system that primarily affects individuals with suppressed immune systems (including, allograft recipients such as kidney transplant patients; patients with cancers such as leukemia or lymphoma; and nearly 10% of patients with acquired immune deficiency syndrome (AIDS). The disorder, which is caused by a common human polyomavirus, JC virus, is characterized by demyelination or destruction of the myelin sheath that covers nerve cells. The myelin sheath is the fatty covering — which acts as an insulator — on nerve fibers in the brain. Symptoms of PML include mental deterioration, vision loss, speech disturbances, ataxia (inability to coordinate movements), paralysis, and, ultimately, coma reflecting the multifocal distribution of brain lesions. In rare cases, seizures may occur.

Is there any treatment?
There is no cure for PML, nor is there currently an effective treatment for the disorder. Treatment is symptomatic and supportive.

What is the prognosis?
The course of PML is relentlessly progressive. Death usually occurs between 1 and 4 months after onset; but there have been a number of reported cases with survival for months to years.

What research is being done?
The NINDS supports research on demyelinating disorders of the nervous system such as PML aimed at increasing scientific understanding of these disorders, and finding ways to prevent, treat, and cure the disease utilizing state of the art molecular diagnostic techniques.

Select this link to view a list of studies currently seeking patients.

 Organizations

National Organization for Rare Disorders (NORD)
P.O. Box 1968
(55 Kenosia Avenue)
Danbury, CT 06813-1968
orphan@rarediseases.org
http://www.rarediseases.org
Tel: 203-744-0100 Voice Mail 800-999-NORD (6673)
Fax: 203-798-2291


NINDS health-related material is provided for information purposes only and does not necessarily represent endorsement by or an official position of the National Institute of Neurological Disorders and Stroke or any other Federal agency. Advice on the treatment or care of an individual patient should be obtained through consultation with a physician who has examined that patient or is familiar with that patient's medical history.

All NINDS-prepared information is in the public domain and may be freely copied. Credit to the NINDS or the NIH is appreciated.


Provided by:
The National Institute of Neurological Disorders and Stroke
National Institutes of Health
Bethesda, MD 20892




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