Document 0710 DOCN M9440710 TI Acute diffuse leukoencephalitis in HIV-1 infection. DT 9404 AU Luer W; Gerhards J; Poser S; Weber T; Felgenhauer K; Department of Neurology, Georg-August University, Gottingen,; Germany. SO J Neurol Neurosurg Psychiatry. 1994 Jan;57(1):105-7. Unique Identifier : AIDSLINE MED/94132807 AB The clinical, neuroradiological, and cerebrospinal fluid findings of a case with acute diffuse leukoencephalitis, a demyelinating disease associated with human immunodeficiency virus infection of the brain, is reported. The patient presented with acute tetraparesis as the primary manifestation of a previously symptom free HIV infection. Cerebrospinal fluid analysis showed enhanced inflammatory abnormalities with high concentrations of P24 antigen. MRI showed diffuse white matter hyper-intensities in both hemispheres. In the follow up over 22 months, the neurological deficits disappeared after antiretroviral treatment in good correlation with improvements in MRI as well as in inflammatory cerebrospinal fluid abnormalities. DE Adult AIDS Dementia Complex/*DIAGNOSIS/DRUG THERAPY/PATHOLOGY Brain/DRUG EFFECTS/*PATHOLOGY/RADIOGRAPHY Case Report Cerebrospinal Fluid/CHEMISTRY/IMMUNOLOGY Female Human HIV Antibodies/IMMUNOLOGY HIV Core Protein p24/CEREBROSPINAL FLUID/IMMUNOLOGY HIV Infections/COMPLICATIONS/*IMMUNOLOGY HIV-1/*IMMUNOLOGY Magnetic Resonance Imaging Zidovudine/ADMINISTRATION & DOSAGE/THERAPEUTIC USE JOURNAL ARTICLE SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).