HIV encephalopathy
Updates to Case Attributes
This case illustrates fairly typical changes of HIV encephalopathy (aka AIDS dementialdementia complex).
-<p>This case illustrates fairly typical changes of HIV encephalopathy (aka AIDS demential complex). </p>- +<p>This case illustrates fairly typical changes of <a title="HIV encephalopathy" href="/articles/hiv-associated-dementia">HIV encephalopathy</a> (aka AIDS dementia complex). </p>
Updates to Study Attributes
Bilateral periventricular and deep white matter relatively symmetric T2/FLAIR hyperintensity present whichpresent that extends into the right right cerebral peduncle, pons and medulla. The areas of abnormality demonstrate no evidence of mass effect, diffusion restriction or mass effect. Mild diffuse atrophy.
Conclusion:
Mild cerebral atrophy and diffuse symmetrical periventricular and deep white matter T2/FLAIR abnormality extending into the left pons, in the setting of HIV infection without treatment and dementia type symptoms, findings would likely be in keeping with HIV encephalopathy. Less The Less likely differential would be CMV infection. Progressive multifocal leukoencephalopathy (PML) would only be expected to be seen in patients with treatment.
Image MRI (DWI) ( update )
Image MRI (T1) ( update )
Image MRI (FLAIR) ( update )
Image MRI (FLAIR) ( update )
Image MRI (ADC) ( update )
Image MRI (T1) ( update )
Image MRI (Echo planar) ( update )
Image 1 MRI (T1) ( update )
Image 2 MRI (T1 C+) ( update )
Image 4 MRI (FLAIR) ( update )
Image 6 MRI (DWI) ( update )
Updates to Freetext Attributes
The following serological test results were obtained, confirming the patient to be HIV +ve, with a low CD4+ count.
- HIV
- HIV-1/2 Antibody by EIA : DETECTED
- HIV-1 Antibody by Western Blot : DETECTED
- HIV-2 Antibody by Western Blot : Not detected
- CRYPTOCOCCAL SEROLOGY
(Serum(Serum) -CryptococcalCryptococcal Ag: NOT Detected - Strongyloides Serology - Strongyloides IgG by EIA : Negative
- JC negative
- T-CELL SUBSETS
- Total WCC 2.50 x10^9/L (normal = 4.00-11.00)
- Total Lymph 0.50 x10^9/L (normal =
11.20-4.00) - % CD3 61.20%
- Total CD3 0.31 x10^9/L (normal =
00.70-3.58) - % CD4 6.50%
- Total CD4 0.03 x10^9/L (normal =
00.35-2.63) - % CD8 54.00%
- Total CD8 0.27x10^9/L (normal =
00.12-1.47) - CD4:CD8 0.12L (normal =
11.00-2.40)