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HIV-associated dementia

Changed by Yusra Sheikh, 2 Jul 2020

Updates to Article Attributes

Body was changed:

Dr Olori Traditional Herbal TherapyHIV associated dementia (HAD), previously referred to as AIDS dementia complex (ADC), corresponds to a neurological clinical syndrome seen in patients with HIV infection. The associated imaging appearance is the bestgenerally referred to treat Herpes virusas HIV encephalopathy.

Terminology

The terms HIV dementia complex, I have had herpesAIDS dementia complex (ADC), HIV-associated dementia (HAD) and HIV encephalopathy (HIE) are being replaced by more clear definitions for 12 yearsthe spectrum HIV associated neurocognitive disorder (HANDs). The progressive impairment described as ADC is now and I have tried so many waysreferred to get ridas HIV associated dementia (HAD) using the most recent criteria 4,5

Clinical presentation

The clinical syndrome of herpes totally butHAD comprises of a combination of cognitive, behavioural and motor dysfunction like gait disturbance and tremors . While there is some individual variation, frequent manifestations include: inattention and reduced concentration, apathy and dulling of personality, psychomotor slowing, marked motor slowing and ataxia. 

Radiographic features

CT

Imaging findings include:

  • diffuse and symmetric cerebral atrophy, out of proportion in keeping with age of patient 
  • symmetric periventricular and deep white matter hypoattenuation
MRI
  • symmetric periventricular and deep white matter T2 hyperintensity with relative sparing of the subcortical white matter and posterior fossa structures
  • confluent or patchy
  • no mass effect
  • no enhancement
MR spectroscopy

May show decreased N acetyl aspartate and increased choline peaks and changes in the glutamate and glutamine levels. 

Treatment and prognosis

Severity is related to know avail but I kept on searchingthe patient's viral load, and can regress with highly active antiretroviral therapy (HAART). Couple weeks ago I came acrossSuperimposed infection may lead to fulminant disease. Overall prognosis is not good, generally leading to death in less than a review about Dr Olori herbs, ityear 5

History and etymology

The term AIDS dementia complex was quite convincing because I believeintroduced by Bradford Navia, an American physician, and colleagues in natural herbs for healing as I have been a vegan for a couple years now1986 4. So I decided to give it a try, I am overwhelmed with joy as I am totally free from herpes so I decided to share among others. You can getIt was replaced by HIV-associated dementia after the publication of Antinori et al in touch with Dr Olori via email: [email protected], call/Whatsapp +2348110492548. He does have herbs for Other ailments such as  Hpv, Diabetes, Hepatitis, Cervical Cancer. You can place your order on his website: https://dr-olori-traditional-healng-herbs.weeblysite.com/ 2007 5,6.

  • -<p>Dr Olori Traditional Herbal Therapy is the best to treat Herpes virus, I have had herpes for 12 years now and I have tried so many ways to get rid of herpes totally but to know avail but I kept on searching. Couple weeks ago I came across a review about Dr Olori herbs, it was quite convincing because I believe in natural herbs for healing as I have been a vegan for a couple years now. So I decided to give it a try, I am overwhelmed with joy as I am totally free from herpes so I decided to share among others. You can get in touch with Dr Olori via email: [email protected], call/Whatsapp +2348110492548. He does have herbs for Other ailments such as  Hpv, Diabetes, Hepatitis, Cervical Cancer. You can place your order on his website: https://dr-olori-traditional-healng-herbs.weeblysite.com/ .</p>
  • +<p><strong>HIV associated dementia (HAD)</strong>, previously referred to as <strong>AIDS dementia complex (ADC)</strong>, corresponds to a neurological clinical syndrome seen in patients with HIV infection. The associated imaging appearance is generally referred to as <strong>HIV encephalopathy</strong>.</p><h4>Terminology</h4><p>The terms HIV dementia complex, AIDS dementia complex (ADC), HIV-associated dementia (HAD) and HIV encephalopathy (HIE) are being replaced by more clear definitions for the spectrum <a href="/articles/hiv-associated-neurocognitive-disorders">HIV associated neurocognitive disorder (HANDs)</a>. The progressive impairment described as ADC is now referred to as<strong> HIV associated dementia (HAD)</strong> using the most recent criteria <sup>4,5</sup>. </p><h4>Clinical presentation</h4><p>The clinical syndrome of HAD comprises of a combination of cognitive, behavioural and motor dysfunction like gait disturbance and tremors . While there is some individual variation, frequent manifestations include: inattention and reduced concentration, apathy and dulling of personality, psychomotor slowing, marked motor slowing and ataxia. </p><h4>Radiographic features</h4><h5>CT</h5><p>Imaging findings include:</p><ul>
  • +<li>diffuse and symmetric cerebral atrophy, out of proportion in keeping with age of patient </li>
  • +<li>symmetric periventricular and deep white matter hypoattenuation</li>
  • +</ul><h5>MRI</h5><ul>
  • +<li>symmetric periventricular and deep white matter T2 hyperintensity with relative sparing of the subcortical white matter and posterior fossa structures</li>
  • +<li>confluent or patchy</li>
  • +<li>no mass effect</li>
  • +<li>no enhancement</li>
  • +</ul><h6><strong>MR spectroscopy</strong></h6><p>May show decreased N acetyl aspartate and increased choline peaks and changes in the glutamate and glutamine levels. </p><h4>Treatment and prognosis</h4><p>Severity is related to the patient's viral load, and can regress with <a href="/articles/highly-active-antiretroviral-therapy-haart">highly active antiretroviral therapy (HAART)</a>. Superimposed infection may lead to fulminant disease. Overall prognosis is not good, generally leading to death in less than a year <sup>5</sup>. </p><h4>History and etymology</h4><p>The term AIDS dementia complex was introduced by <strong>Bradford Navia</strong>, an American physician, and colleagues in 1986 <sup>4</sup>. It was replaced by HIV-associated dementia after the publication of<strong> Antinori et al</strong> in 2007 <sup>5,6</sup>.</p>

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