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Neurological symptoms in hospitalized HIV infected patients.


Natl Conf Hum Retroviruses Relat Infect (1st). 1993 Dec 12-16;:144.

Although the neurological complications of HIV infection have been well documented, few studies have addressed the frequency of presenting symptoms in these patients. To identify the commonest presenting neurological symptoms in hospitalized HIV infected patients, we reviewed all inpatient neurological consultations on HIV infected patients from July 1991 to July 1993. Of 116 consecutive patients (average age = 40.5 years), the most common presenting symptoms were as follows: [1] Seizures 30 patients (26%) [2] Mental Status Changes 26 patients (22.4%) [3] Focal Neurological Weakness 25 patients (21.5%) [4] Symptoms consistent with peripheral nerve disease 14 patients (12%) [5] Headache 7 patients (6%) [6] Syncope 4 patients (3.4%) [7] Coma 4 patients (3.4%) and [8] Visual Disturbances 2 patients (1.7%). In addition, one patient each presented with lower back pain, expressive aphasia, staggering gait and vertigo. These findings suggest that HIV infected patients may present with a wide range of symptoms. However in our series, seizures, mental status changes, and focal neurological weakness were most common.



Information in this article was accurate in December 30, 1995. The state of the art may have changed since the publication date. This material is designed to support, not replace, the relationship that exists between you and your doctor. Always discuss treatment options with a doctor who specializes in treating HIV.