Goldstick L, Mandybur T I, Bode R
Neurology. 1985 Jan;35(1):103-6. doi: 10.1212/wnl.35.1.103.
Ten months before his death, a 36-year-old homosexual man with AIDS developed progressive symmetric paraparesis with muscle wasting, paresthesias, reflex-uninhibited bladder function, and bowel incontinence. Neuropathologic postmortem examination revealed a symmetric degeneration of the lateral and anterior pyramidal tracts as well as the posterior columns. Scattered microglial nodules were present in the brain and spinal cord. The cause of this spinal cord complication remains uncertain. Possible etiologies of the demyelinating process include infectious, parainfectious, nutritional, paraneoplastic, and toxic causes.
在他去世前十个月，一名患有艾滋病的36岁同性恋男子出现进行性对称性截瘫，伴有肌肉萎缩、感觉异常、反射不受抑制的膀胱功能和大便失禁。死后神经病理学检查显示外侧和前锥体束以及后索对称性变性。脑和脊髓中存在散在的小胶质结节。这种脊髓并发症的病因仍不确定。脱髓鞘过程的可能病因包括感染性、感染后、营养性、副肿瘤性和中毒性原因。
