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Table 3 Distribution of brain lesions and neurologic symptoms in patients with JCV-positive and JCV-negative CSF samples

From: Improving detection of JC virus by ultrafiltration of cerebrospinal fluid before polymerase chain reaction for the diagnosis of progressive multifocal leukoencephalopathy

  

MRI (T2/FLAIR) lesion (%)a

 

Patient

JCV DNA

Cerebral white matter

Cerebellar white matter

Brain stem

Pattern

Symmetry

Neurologic symptom

1

Positive

+

–

–

Bilateral

Asymmetric

Quadriplegia, Consciousness disorder, Aphasia, Involuntary movement, Increased deep tendon reflex

2

Positive

–

+

–

Unilateral

Asymmetric

Cerebellar symptom

3

Positive

+

+

–

Bilateral

Asymmetric

Hemiplegia, Mental manifestation, Dysarthria, Dysphagia, Increased deep tendon reflex

4

Positive

–

+

–

Unilateral

Asymmetric

Cerebellar symptom

5

Positive

+

–

+

Bilateral

Asymmetric

Dysarthria, Sensory disturbance, Cerebellar symptom

6

Positive

+

+

+

Bilateral

Asymmetric

Consciousness disorder, Mental manifestation, Aphasia, Dysarthria, Dysphagia, Sensory disturbance, Involuntary movement

7

Positive

+

–

–

Bilateral

Asymmetric

Consciousness disorder, Aphasia

8

Positivea

+

+

+

Bilateral

Asymmetric

Hemiplegia, Consciousness disorder, Increased deep tendon reflex, Cerebellar symptom

9

Negative

+

–

–

Unilateral

Asymmetric

Hemiplegia, Consciousness disorder, Aphasia

10

Negative

+

–

–

Bilateral

Asymmetric

Increased deep tendon reflex

11

Negative

+

–

–

Unilateral

Asymmetric

Sensory disturbance

12

Negative

–

–

+

Bilateral

Symmetric

Sensory disturbance

13

Negative

+

–

–

Bilateral

Symmetric

Consciousness disorder, Mental manifestation

14

Negative

+

–

–

Bilateral

Symmetric

Consciousness disorder

15

Negative

+

–

–

Bilateral

Asymmetric

Consciousness disorder, Dysarthria

16

Negative

+

–

+

Bilateral

Asymmetric

Consciousness disorder, Sensory disturbance

17

Negative

+

+

–

Bilateral

Symmetric

Quadriplegia, Consciousness disorder

18

Negative

+

+

+

Bilateral

Symmetric

Dysarthria, Cerebellar symptom

19

Negative

+

+

+

Bilateral

Symmetric

Consciousness disorder, Dysarthria, Sensory disturbance, Increased deep tendon reflex, Cerebellar symptom

20

Negative

+

–

–

Bilateral

Symmetric

Consciousness disorder, visual disturbance, Dysarthria, Dysphagia, Sensory disturbance

  1. Abbreviations: CSF Cerebrospinal fluid, FLAIR Fluid-attenuated inversion recovery, JCV JC virus, MRI Magnetic resonance imaging
  2. aPlus indicates that MRI lesions were identified, while minus indicates that no lesions were found
  3. bJCV DNA was detected in ultrafiltrated CSF specimen