AIDS dementia complex: Difference between revisions
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==See Also== | ==See Also== | ||
[[HIV - AIDS (Main)]] | *[[HIV - AIDS (Main)]] | ||
*[[Altered Mental Status]] | |||
==Source== | ==Source== | ||
Revision as of 05:50, 4 December 2011
Background
- Also referred to as HIV encephalopathy
- Progressive disorder heralded by impairment of recent memory and other cognitive deficits
- Occurs in 10-15% of HIV+ pts; 30% of pts w/ CD4 <100
- Diagnosis of exclusion
Clinical Features
- Can initially be confused with depression, anxiety disorders, or substance abuse
- Changes in mental status
- Aphasia
- Motor abnormalities. Patients with an established diagnosis of AIDS dementia who develop progressive neurologic or psychologic signs or symptoms warrant further evaluation for systemic or CNS processes
Diagnosis
- Head CT shows cortical atrophy and ventricular enlargement
- Associated w/ elevated CSF protein in 50-70% of cases
See Also
Source
Tintinalli