Diagnostic and Interventional Radiology
Neuroradiology - Pictorial Essay

Imaging features of CNS involvement in AIDS

1.

Departments of Radiology, Abant İzzet Baysal University School of Medicine, Bolu, Turkey

2.

Departments of Radiology, Hacettepe University School of Medicine, Ankara, Turkey

3.

Hacettepe Üniversitesi Tıp Fakültesi, Radyoloji Anabilim Dalı, Ankara

4.

Departments of Neurology, Hacettepe University School of Medicine, Ankara, Turkey

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Departments of Internal Medicine Division of Infectious Diseases Hacettepe University School of Medicine, Ankara, Turkey

Diagn Interv Radiol 2010; 16: 193-200
DOI: 10.4261/1305-3825.DIR.2182-08.1
Read: 604 Downloads: 860 Published: 03 September 2019

Abstract

Patients with acquired immunodeficiency syndrome (AIDS) are the subjects of a large part of routine neuroradiological work in the Western world currently. The World Health Organization announced that Turkish authorities had reported a cumulative total of 2544 HIV cases from 1985 to 2006, of whom 623 had developed AIDS and 140 had died. It is estimated that approximately one-third of AIDS patients develop neurological complications. The spectrum of diseases affecting the central nervous system (CNS) in AIDS patients comprises predominantly opportunistic infections and primary CNS lymphoma. Although to a lesser degree when compared with Western countries, the incidence of AIDS and related neurological diseases are on the rise also in Turkey. Therefore radiologists should recognize HIV-associated problems and their imaging features. In this review, we focus on imaging features of more common CNS diseases in HIV-seropositive patients. This essay has been prepared using radiological studies of the patients who had been managed in our hospital which is a tertiary care center with a highly motivated medical team for this peculiar disease in the years between 2002 and 2008.

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