J Korean Neurol Assoc.  2005 Feb;23(1):114-116.

A Case of HIV Infection Presented with Cerebellar Ataxia

Affiliations
  • 1Department of Neurology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea. chungpw@hanmail.net
  • 2Department of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Abstract

HIV encephalopathy usually presents with progressive dementia. However the spectrum of neurological manifestations of HIV infection is wide. A 46-year-old man presented with gait disturbance and dysarthria. He was given a neurological examination, which indicated dysarthria, cerebellar ataxia, and pyramidal tract signs. The patient's cognitive functions were intact. On serological study, HIV test was positive. Brain MRI and CSF analyses showed no evidence of tumor or other CNS infection. The patient was treated with highly active anti-retroviral therapy. Three months after treatment, cerebellar ataxia was much improved.

Keyword

HIV infection; Cerebellar ataxia; AIDS dementia complex

MeSH Terms

AIDS Dementia Complex
Brain
Cerebellar Ataxia*
Dementia
Dysarthria
Gait
HIV Infections*
HIV*
Humans
Magnetic Resonance Imaging
Middle Aged
Neurologic Examination
Neurologic Manifestations
Pyramidal Tracts
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