J Korean Neurol Assoc > Volume 18(4); 2000 > Article
Journal of the Korean Neurological Association 2000;18(4): 472-475.
AIDS 치매복합증 1예 :부검 증례
이경복, ·최기영*·김호진 ·김활웅*·지제근*·최강원· 이광우
서울대학교 의과대학 신경과학교실,병리학교실*,내과학교실
AIDS Dementia Complex : Report of an Autopsy Case
Kyung-Bok Lee, M.D., Gheeyoung Choe, M.D.*, Ho Jin Kim, M.D., Hwal-Woong Kim, M.D.*, Je G. Chi, M.D.*, Kang-Won Choe, M.D., Kwang-Woo Lee, M.D.
Department of Neurology, Pathology*, Internal Medicin† , College of Medicine, Seoul National University
Abstract
We report a 33-year-old man with AIDS dementia complex, which is one of the most common neurologic complica-tion of HIV-1 infection. The man presented with mild psychomotor slowing and episodic loss of consciousness about 5 years after the detection of the HIV-1 infection. His symptoms included forgetfulness, concentration difficulties, apathy, and psychomotor retardation which progressed rapidly evolving into the characteristic features of terminal HIV-1-asso-ciated dementia complex, such as severe dementia, mutism, incontinence, and paraparesis before death. Brain MRIrevealed diffuse confluent high signal intensity lesions in the subcortical white matter on the T2 weighted image. HIV encephalitis (AIDS dementia complex) was confirmed by a brain autopsy. J Korean Neurol Assoc 18(4):472~475, 2000 Key Words : AIDS dementia complex, Acquired Immunodeficiency Syndrome, HIV, Dementia, Autopsy
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