소뇌실조증으로 발현된 HIV 감염증 1예 = A Case of HIV Infection Presented with Cerebellar Ataxia

다국어 초록 (Multilingual 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.

참고문헌 (Reference)

1 "Temporal trends in the incidence of HIV-1-related neurological diseases" Multicenter AIDS Cohort study 1985-1992neurology19941892-1900

2 "Subacute cerebellar syndrome as the first manifestation of AIDS dementia complex" 81 : 118-120, 1990

3 "Speech motor control disorder after HIV infection" 44 : 2187-2189, 1994

4 "Primary cerebellar degeneration and HIV" 161 : 1555-1556, 2001

5 "Neurological manifestations of HIV infection" 121 : 769-785, 1994

6 "Cerebellar degeneration associated with human immunodeficiency virus infection" 50 : 244-251, 1998

7 "Acquired immunodeficiency syndrome" Lippincott acquired immu (acquired immu): 163-175, 2000