Neurological presentations of hiv infection

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CT/MR scan

CT/MR scan

Antibody tests

Biopsy

Cerebral tumours

Primary cerebral lymphoma Metastatic systemic lymphoma Metastatic Kaposi's Sarcoma Infections Encephalitis

Cytomegalovirus Herpes zoster/simplex Toxoplasmosis Progressive multifocal leukoencephalopathy Cerebral abscess E. coli Aspergillus -Candida Nocardia Meningitis HIV-1

Mycobacterium Listeria -Syphilis Aspergillus

Peripheral neuropathy

Herpes zoster radiculopathy Cauda equina syndrome (cytomegalovirus) Acute reversible demyelination Chronic demyelination

AIDS dementia (in 15%) Dire« HIV infection with demyelination and perivascular inflammatory changes. Intellectual decline of subcortical type (page 125).

CT/MR scan Psychometry

Fundal exam. Antibody tests

CT/MR scan Aspiration/culture Antibody tests

CSF exam and culture Antibody tests

Retinopathy

Cytomegalovirus Toxoplasmosis

Myelopathy

Acute reversible Compression - abscess

- systemic lymphoma. — Ascending - cytomegalovirus herpes zoster/simplex

Vascular disorders

Intracranial haemorrhage cerebral infarction (septic emboli or thrombosis)

Spinal CT/MRI Antibody tests

CT/MR scan

Nerve conduction studies Antibody tests

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