[Magnetic resonance imaging: early detection of involvement of the central nervous system in acquired immunodeficiency syndrome].
Central Nervous System (CNS) involvement, whether primary by the Human Immunodeficiency Virus--HIV--itself, or secondary (toxoplasmosis or lymphoma) is remarkably frequent in AIDS, in 40 to 70% of cases, depending upon the author. In order to study the natural history of this illness, a cohort of 25 asymptomatic seropositive patients have been established. Every 6 months these patients undergo biological and clinical examinations, as well as Magnetic Resonance brain scans. After two examinations at a 6 month's interval, the first results are reported. Out of these 25 cases, 9 present anomalies: One patient with diffuse cerebral atrophy and 8 others with high signal intensity areas on T2 weighted sequences, like those of the Multiple Sclerosis. No relationship could be demonstrated between the existence of these lesions and various criteria such as age, sex, risk factors and T4 cells count. The nature of these lesions is not clear. They certainly indicate early involvement of the CNS after primary infection by the HIV virus. They may either represent scars of the primary infection or early alterations announcing developing encephalopathy.
D000163:Acquired Immunodeficiency Syndrome / Q000175:diagnosis*; D000328:Adult; D002353:Carrier State; D002493:Central Nervous System Diseases / Q000175:diagnosis*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D013997:Time Factors
Imagerie par résonance magnétique: dépistage précoce des atteintes du système nerveux central au cours du syndrome d'immuno-déficience acquise (SIDA).