Human immunodeficiency virus-associated pure motor lumbosacral polyradiculopathy

Michael G. Bcnatar, Roland W. Eastman

Research output: Contribution to journalArticle

11 Scopus citations

Abstract

Background: Neuromuscular disease is a common manifestation of human immunodeficiency virus infection and acquired immunodeficiency syndrome, but isolated and severe pathology confined to the motor roots or anterior horn cells are not a recognized clinical entity. Objective: To describe the novel clinical presentation of human immunodeficiency virus-related polyradiculopathy manifesting as isolated severe motor symptoms confined to the legs. Design: A case series comprising 4 patients identified prospectively during a 6-month period. Setting: Patients were seen in the Department of Neurology, Groote Schuur Hospital, Cape Town, South Africa. This is an 800-bed teaching hospital, with approximately 5000 patients seen annually in the Department of Neurology. Patients: Patients were identified by their unique presentation with a severe isolated motor neuropathy in the lower limbs. All were Xhosa-speaking African women. Result: Early human immunodeficiency virus infection may be associated with pure motor lumbosacral polyradiculopathy. Conclusion: It remains unclear whether this clinical syndrome should be regarded as a variant of the Guillain-Barre syndrome or whether it represents a unique disorder associated with early human immunodeficiency virus infection.

Original languageEnglish (US)
Pages (from-to)1034-1039
Number of pages6
JournalArchives of neurology
Volume57
Issue number7
StatePublished - Jul 1 2000

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ASJC Scopus subject areas

  • Arts and Humanities (miscellaneous)
  • Clinical Neurology

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