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Journal of Postgraduate Medicine
Medknow Publications and Staff Society of Seth GS Medical College and KEM Hospital, Mumbai, India
ISSN: 0022-3859 EISSN: 0022-3859
Vol. 50, No. 3, 2004, pp. 195-196
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Bioline Code: jp04064
Full paper language: English
Document type: Research Article
Document available free of charge
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Journal of Postgraduate Medicine, Vol. 50, No. 3, 2004, pp. 195-196
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Case Report - Remission of HIV-associated myelopathy after highly active antiretroviral therapy
Fernández-Fernández FJ, Fuente-Aguado J dela, Ocampo-Hermida A, Iglesias-Castañón A
Abstract
HIV-associated myelopathy is the leading cause of spinal cord disease in HIV-infected patients. Typically, it affects individuals with low CD4 T cell counts, presenting with slowly progressive spastic paraparesis associated with dorsal column sensory loss as well as urinary disturbances. Other aetiologies must be first ruled out before establishing the diagnosis. We report here the case of a 37-year-old woman with advanced HIV disease, who developed HIV-associated myelopathy. The patient showed a gradual improvement after beginning with highly active antiretroviral therapy and, finally, she achieved a complete functional recovery. In addition, neuroimaging and neurophysiological tests normalized.
Keywords
HIV-associated myelopathy, AIDS, HAART
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