AIDS dementia complex: Difference between revisions
m (Rossdonaldson1 moved page AIDS Dementia to AIDS dementia) |
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*Aphasia | *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 | *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 | ||
==Differential Diagnosis== | |||
==Diagnosis== | ==Diagnosis== | ||
*Head CT shows cortical atrophy and ventricular enlargement | *Head CT shows cortical atrophy and ventricular enlargement | ||
*Associated w/ elevated CSF protein in 50-70% of cases | *Associated w/ elevated CSF protein in 50-70% of cases | ||
==Management== | |||
==See Also== | ==See Also== | ||
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*[[Altered Mental Status]] | *[[Altered Mental Status]] | ||
== | ==References== | ||
[[Category:ID]] | [[Category:ID]] | ||
[[Category:Neuro]] | |||
Revision as of 09:31, 3 June 2015
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
Differential Diagnosis
Diagnosis
- Head CT shows cortical atrophy and ventricular enlargement
- Associated w/ elevated CSF protein in 50-70% of cases