Abstract
Although the neurologic complications of HIV-1 infection during the first two years of life have been defined, the neurologic features in older children are not so well described. The present report is focused on the age-dependent neurologic presentation of HIV-1 infection. Sixty-two vertically HIV-1 infected children underwent detailed serial evaluations: neurologic assessment, neuropsychological tests, neuroimaging studies, and cerebrospinal fluid analysis. Neurologic involvement was found in 30 patients (48.3%). This population was divided into two groups, exhibiting progressive (83.3%) or nonprogressive (16.6%) neurologic signs and symptoms. In the first group of patients, progressive encephalopathy was distinguished from spastic paraparesis, possibly due to spinal cord involvement. The second group, represented by long-term survivors, requires clinical monitoring due to the possible prognostic value of acquired but presently nonprogressive signs of brain involvement. In contrast with the stereotyped features of the early form of progressive encephalopathy, the late form showed a polymorphic picture, with age-dependent neurologic manifestations. Multifocal white matter alterations and cerebral calcifications (sometimes with delayed onset and progression) were the prominent imaging findings. A correlation between cerebrospinal fluid HIV RNA levels, suggestive of viral replication within the central nervous system, and progressive neurological disease were also found.
| Original language | English |
|---|---|
| Pages (from-to) | 135-142 |
| Number of pages | 8 |
| Journal | Neurological Sciences |
| Volume | 21 |
| Issue number | 3 |
| DOIs | |
| Publication status | Published - Jun 2000 |
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Keywords
- Central nervous system
- Children
- Human immunodeficiency virus
ASJC Scopus subject areas
- Clinical Neurology
- Neuroscience(all)
Cite this
Age-dependent neurologic manifestations of HIV infection in childhood. / Angelini, L.; Zibordi, F.; Triulzi, F.; Cinque, P.; Giudici, B.; Pinzani, R.; Plebani, A.
In: Neurological Sciences, Vol. 21, No. 3, 06.2000, p. 135-142.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Age-dependent neurologic manifestations of HIV infection in childhood
AU - Angelini, L.
AU - Zibordi, F.
AU - Triulzi, F.
AU - Cinque, P.
AU - Giudici, B.
AU - Pinzani, R.
AU - Plebani, A.
PY - 2000/6
Y1 - 2000/6
N2 - Although the neurologic complications of HIV-1 infection during the first two years of life have been defined, the neurologic features in older children are not so well described. The present report is focused on the age-dependent neurologic presentation of HIV-1 infection. Sixty-two vertically HIV-1 infected children underwent detailed serial evaluations: neurologic assessment, neuropsychological tests, neuroimaging studies, and cerebrospinal fluid analysis. Neurologic involvement was found in 30 patients (48.3%). This population was divided into two groups, exhibiting progressive (83.3%) or nonprogressive (16.6%) neurologic signs and symptoms. In the first group of patients, progressive encephalopathy was distinguished from spastic paraparesis, possibly due to spinal cord involvement. The second group, represented by long-term survivors, requires clinical monitoring due to the possible prognostic value of acquired but presently nonprogressive signs of brain involvement. In contrast with the stereotyped features of the early form of progressive encephalopathy, the late form showed a polymorphic picture, with age-dependent neurologic manifestations. Multifocal white matter alterations and cerebral calcifications (sometimes with delayed onset and progression) were the prominent imaging findings. A correlation between cerebrospinal fluid HIV RNA levels, suggestive of viral replication within the central nervous system, and progressive neurological disease were also found.
AB - Although the neurologic complications of HIV-1 infection during the first two years of life have been defined, the neurologic features in older children are not so well described. The present report is focused on the age-dependent neurologic presentation of HIV-1 infection. Sixty-two vertically HIV-1 infected children underwent detailed serial evaluations: neurologic assessment, neuropsychological tests, neuroimaging studies, and cerebrospinal fluid analysis. Neurologic involvement was found in 30 patients (48.3%). This population was divided into two groups, exhibiting progressive (83.3%) or nonprogressive (16.6%) neurologic signs and symptoms. In the first group of patients, progressive encephalopathy was distinguished from spastic paraparesis, possibly due to spinal cord involvement. The second group, represented by long-term survivors, requires clinical monitoring due to the possible prognostic value of acquired but presently nonprogressive signs of brain involvement. In contrast with the stereotyped features of the early form of progressive encephalopathy, the late form showed a polymorphic picture, with age-dependent neurologic manifestations. Multifocal white matter alterations and cerebral calcifications (sometimes with delayed onset and progression) were the prominent imaging findings. A correlation between cerebrospinal fluid HIV RNA levels, suggestive of viral replication within the central nervous system, and progressive neurological disease were also found.
KW - Central nervous system
KW - Children
KW - Human immunodeficiency virus
UR - http://www.scopus.com/inward/record.url?scp=0034208560&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0034208560&partnerID=8YFLogxK
U2 - 10.1007/s100720070088
DO - 10.1007/s100720070088
M3 - Article
C2 - 11076001
AN - SCOPUS:0034208560
VL - 21
SP - 135
EP - 142
JO - Neurological Sciences
JF - Neurological Sciences
SN - 1590-1874
IS - 3
ER -