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Living with Progressive multifocal leukoencephalopathy

A brain condition caused by the JC virus that damages the protective coating of nerves, mostly in people with weakened immune systems.

Understanding Progressive multifocal leukoencephalopathy

Progressive multifocal leukoencephalopathy (PML) is a neurological disorder that damages the myelin covering nerves in the brain's white matter.

It is caused by the JC virus (JCV). It rarely occurs in organ transplant patients, people on long-term corticosteroid or immune-suppressing treatment, and people with cancers such as Hodgkin's disease or lymphoma. GARD says it is most common in people with AIDS. It can start at any time in life.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Weakness in the arms or legs
  • Weakness or paralysis on one side of the body
  • Trouble speaking clearly (dysarthria)
  • Poor balance when walking (gait ataxia)
  • Headache
  • Changes in thinking

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include brain and nervous system specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    United Leukodystrophy Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists)
Expert care
Expert lists: United Leukodystrophy Foundation
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with United Leukodystrophy Foundation
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
How is the JC virus tied to my symptoms?
How does my immune health affect this condition?
Which specialists should be part of my care team?

Quick facts

Symptoms usually startany time in life

GARD says PML is caused by the JC virus. It tends to occur when the immune system is weakened.

InfectiousNeurological

Also known as: multifocal leukoencephalopathy; pml; pml - progressive multifocal leukoencephalopathy; pmle - progressive multifocal leukoencephalopathy; progressive multifocal leukoencephalitis

Patient organizations

Source: NIH GARD · Progressive multifocal leukoencephalopathyGARD ID 7468 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Progressive multifocal leukoencephalopathy.

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HealthSpark

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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