Document 0623
 DOCN  M9440623
 TI    [Hemiballismus disclosing cerebral toxoplasmosis and acquired
       immunodeficiency syndrome]
 DT    9404
 AU    Awada A; Dept. of Neurology, King Faisal University, Dammam, Arabie;
       Saoudite.
 SO    Rev Neurol (Paris). 1993;149(6-7):421-3. Unique Identifier : AIDSLINE
       MED/94135115
 AB    A 33-year-old Saudi woman presented with right hemiballismus of recent
       onset. Brain CT showed a left thalamo-subthalamic lesion which was
       thought initially to be a metastasis or a tuberculoma. The presence of
       severe subacute diarrhea, multiple lymphadenopathies and lymphopenia
       suggested an acquired immunodeficiency syndrome (AIDS). Tests for HIV-1
       infection were positive and, despite the absence of antitoxoplasma
       antibodies in the serum, antitoxoplasmic treatment by pyrimethamine and
       sulfadiazine was given. One and a half month later, both abnormal
       movements and CT images had disappeared. The probable source of HIV
       infection was imported packed red blood cells received by the patient 5
       years earlier. Toxoplasmic brain abscess associated with AIDS should be
       considered as a possible cause of hemiballismus in young adult even in
       the regions where AIDS is still infrequent.
 DE    Acquired Immunodeficiency Syndrome/COMPLICATIONS/DIAGNOSIS/  *ETIOLOGY
       Adult  AIDS-Related Opportunistic Infections/*COMPLICATIONS  Blood
       Transfusion/ADVERSE EFFECTS  Case Report  English Abstract  Female
       Human  Movement Disorders/*ETIOLOGY  Tomography, X-Ray Computed
       Toxoplasmosis, Cerebral/*COMPLICATIONS/RADIOGRAPHY  JOURNAL ARTICLE

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