MR Findings of Central Nervous System Involvement in Acquired Immunodeficiency Syndrome Patient: A Report of Two Cases.
10.3348/jkrs.1996.35.4.459
- Author:
Hye Suk HONG
1
;
Dong Ik KIM
;
Byeong Hee LEE
;
Sun Yang JEONG
Author Information
1. Department of Diagnostic Radiology, Yonsei University Medical College, Korea.
- Publication Type:Case Report
- Keywords:
Encephalitis;
Brain, MR;
Acquired immunodeficiency syndrome(AIDS)
- MeSH:
Acquired Immunodeficiency Syndrome*;
Basal Ganglia;
Brain;
Central Nervous System Diseases;
Central Nervous System*;
Corpus Callosum;
Encephalitis;
HIV;
Humans;
Magnetic Resonance Imaging;
Opportunistic Infections;
Thalamus
- From:Journal of the Korean Radiological Society
1996;35(4):459-463
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Central nervous system (CNS) manifestations in acquired immunodeficiency syndrome (AIDS) patients are an earlyand common feature. The spectrum of AIDS-related CNS diseases are encephalitis caused by the human immunodeficiency virus(HIV) itself, opportunistic infection, infarct and malignancy. We experienced two cases of CNS involvement in AIDS and they were serologically diagnosed as HIV encephalitis and CNS toxoplasmosis, respectively. In the case of the HIV encephalitis patient, brain MRI showed a non-enhancing lesion with high signal intensity on T2WI and low signal on T1WI and there was no mass effect on the right frontal lobe,periventricular white matter, splenium of the corpus callosum or bilateral basal ganglia. In the other case of CNS toxoplasmosis, MR showed multiple nodular and rim enhanced mass lesions in the right basal ganglia, thalamus and periventricular white matter, which were of low signal intensity on T1WI and of high intensity on T2WI. We thus report the related MRI findings.