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C-1674 - Imaging of brain diseases in HIV infected patients
T. Kamoun, W. Feki, M. Koubaa, M. Nouri, H. Fourati, E. Daoud, Z. Mnif; Sfax/TN
Type: Scientific Exhibit
Area of Interests: Neuroradiology brain, Head and neck
Imaging Technique: MR
Procedure: Statistics
Special Focuses: AIDS, Infection

Aims and objectives:
Brain diseases in Human Immunodeficiency Virus (HIV) affected patients present various imaging manifestations that must be known by radiologists and clinicians. Magnetic resonance imaging (MRI) is the most sensitive imaging modality and the gold standard to differenciate between these diseases. [...]
Methods and materials:
Retrospectively we studied 160 medical files of HIV patients followed in the infectious diseases department at H├ędi Chaker Hospital in Sfax, Tunisia, during 28 years (from 1988 to 2016). Our study included patients with acute neurological manifestations. The radiological findings were correlated [...]
Results:
A total of 29 patients with CNS (central nervous system) disease manifestations were identified : 14 cerebral toxoplasmosis, 4 cryptococcal infection, 4 progressive multifocal leukoencephalopathy (PML), 4 subacute HIV encephalitis and 3 CNS tuberculosis. The mean age of the patients at the time [...]
Conclusion:
CNS involvement is both an early and a common feature of HIV infection. It is therefore important to be aware of the neurological diseases and their imaging manifestations to make a precise diagnosis and to start the therapeutic management on time.
Personal information:
References:
Smith .AB, Smirniotopoulos JG, Rushing EJ. From the archives of the AFIP: central nervous system infections associated with human immunodeficiency virus infection: radiologic-pathologic correlation. Radiographics. 2008;28 (7): 2033-58 Sacktor N. The epidemiology of human immunodeficiency virus-assoc[...]

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