Combined HIV-CMV encephalitis presenting with brainstem signs.

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Combined HIV-CMV encephalitis presenting with brainstem signs.

Two cases of combined HIV-CMV encephalitis are described. One presented with a sixth nerve palsy and a tetraparesis, the other with an internuclear ophthalmoplegia. Pathologically brain stem involvement was predominantly due to CMV.

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Cytomegalovirus (CMV) Encephalitis in HIV Patients

It is hypothesized that impaired CD4 cell functioning is attributable to viral replication. Most cases of CMV encephalitis occur when CD4 counts fall below 50, however patients may be predisposed to CMV infection prior to depletion of CD4 [1]. Previous opportunistic infections (OIs), a high level of CMV viremia, and high plasma HIV RNA levels (>100,000 copies/mL) are other reported risk factors...

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Bickerstaff's brainstem encephalitis associated with typhoid fever.

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St. Louis encephalitis with focal neurological signs.

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ژورنال

عنوان ژورنال: Journal of Neurology, Neurosurgery & Psychiatry

سال: 1989

ISSN: 0022-3050

DOI: 10.1136/jnnp.52.8.975