Symptoms
& History
Physical
Findings
Stop
& Think
Lab
and X-Ray
Differential
Diagnosis
The
Disease
Treatment
Conclusions
Quiz
& Evaluation
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Central Nervous System Involvement,
Continued
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AIDS related cognitive-motor
complex.
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dementia (mental slowing)
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memory loss
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mood disturbances (apathy, depression)
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motor disturbances (ataxia)
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bladder and bowel incontinence
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seizures
Pathologic findings in CNS
involvement.
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Grossly, there is mild diffuse
atrophy with sulcal widening.
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Dispersed microglial nodules
seen microscopically.
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Within the microglial nodules
are macrophage-derived multinucleated giant cells.
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Microscopic areas of necrosis
with reactive gliosis.
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