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HIV Neurological Complications

Dr. Uzun has been treating most of the HIV Complications of Neurological conditions. Patients with HIV can develop central nervous system or peripheral nervous system complications. We have ten years experience more than any neurologist in Southern California treating such as complications

Neurological complications are common in HIV disease. The spectrum of neurological disorders is broad and involves the central nervous system, or CNS (brain and spinal cord) and the peripheral nervous system, or PNS (nerves outside the brain and spinal cord, and related muscle). Neurological disorders related to HIV often result in reduced quality of life and shortened survival, especially in people with more advanced HIV disease.

  • HIV-related neurological disorders may develop directly from infection with HIV, or indirectly as a result of opportunistic illnesses (OIs) Which includes aseptic meningitis
  • Acute encephalopathy with seizures and confusion
  • Inflammatory demyelinating polyneuropathy (Guillain-Barré syndrome)
  • Cranial nerve palsies (e.g., Bell’s palsy), cognitive impairment
  • Distal sensory polyneuropathy (may also appear in early HIV disease)
  • Myelopathy
  • Myopathy
  • Herpes zoster (shingles or Toxic side effects of certain anti-HIV medications.and in late steage of Hiv/aids COMPLICATION APPERS SUCH AS CNS toxoplasmosis
  • Cytomegalovirus (CMV) infection
  • Primary CNS lymphoma ,PML

 

Stroke and Hemorrhage

Stroke (“brain attack”) and hemorrhage (spillage of blood from an artery into brain tissue) are major cerebrovascular events; cerebrovascular refers to the blood vessels of the brain. Causes of stroke and hemorrhage in HIV positive people are numerous and variable. Specific forms of heart disease, particularly accelerated “hardening” of the coronary arteries due to elevated lipids and heart inflammation from various viral infections of the heart muscle, have been implicated in HIV-associated cerebrovascular conditions. Herpes zoster (shingles) over the forehead may cause underlying stroke weeks or months after appearing, and must be considered even in the absence of a rash.