A Comparative Study of CT and MRI Findings in Aids Patients Suffering from Central Nervous System Diseases
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 12
Abstract
Introduction: India has a very large burden of people living with HIV infections. All the systems in the body tend to be affected by the HIV virus, but the central nervous systems affection is involved very early in the disease as the virus is neurotropic. There is a wide spectrum of central nervous system diseases occurring in AIDS patients. The purpose of our study was to detect, characterize and compare various CT and MRI findings in central nervous system diseases in PLHIV and correlate it with CD4+ counts. Material and Methods: The study was carried out on 98 patients who were HIV positive and had Central nervous system complaints. CT and MRI were performed on all the patients included in the study and the findings were compared for both the studies. Results: In our study 25.5% cases were normal on CT and 8.2% by were normal on MRI. The most common final diagnosis in our study group was CNS Tuberculosis detected in 31.6% of cases, followed by AIDS dementia complex in 15.4% cases, cerebrovascular complications in 10.2% cases, Toxoplasmosis in 9.2% cases each. Conclusion: Although CT and MRI both can be used for the work up of PLHIV MRI should be used as the first line investigation for radiological work up of a PLHIV patient presenting with neurological symptoms and CT should be used only when there is a contra indication to MRI.
Authors and Affiliations
Shephali S Pawar, Bikash Parida
Keywords
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