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Journal of the Korean Neurological Association 2005;23(1): 114-116.
소뇌실조증으로 발현된 HIV 감염증 1예
정필욱, 문희수 김용범 안재영
성균관대학교 의과대학 강북삼성병원 신경과, 삼성서울병원 신경과*
A Case of HIV Infection Presented with Cerebellar Ataxia
Pil-Wook Chung
Department of Neurology, Kangbuk Samsung Hospital, Samsung Medical Center*, Sungkyunkwan University School of Medicine, Seoul, Korea
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.KeyWords:HIV infection, Cerebellar ataxia, AIDS dementia complex