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Central nervous system manifestations of HIV infection in children

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Abstract

Vertically transmitted HIV infection is a major problem in the developing world due to the poor availability of antiretroviral agents to pregnant women. HIV is a neurotrophic virus and causes devastating neurological insults to the immature brain. The effects of the virus are further compounded by the opportunistic infections and neoplasms that occur as a result of the associated immune suppression. This review focuses on the imaging features of HIV infection and its complications in the central nervous system.

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References

  1. Shaw DW, Cohen WA (1993) Viral infections of the CNS in children: imaging features. AJR 160:125–133

    PubMed  CAS  Google Scholar 

  2. Gavin P, Yogey R (1999) Central nervous system abnormalities in pediatric human immunodeficiency virus. Pediatr Neurosurg 31:115–123

    Article  PubMed  CAS  Google Scholar 

  3. Angelini L, Zibordi F, Triulzi F et al (2000) Age-dependent neurologic manifestations of HIV infection in childhood. Neurol Sci 21:135–142

    Article  PubMed  CAS  Google Scholar 

  4. van Toorn R, Kritzinger F, Rabie H (2005) Acute demyelinating encephalomyelitis (ADEM), cryptococcal reactivation and disseminated Herpes simplex in an HIV infected child following HAART. Eur J Paediatr Neurol 9:355–359

    Article  PubMed  Google Scholar 

  5. Hedlund GL, Boyer RS (1999) Neuroimaging of postnatal pediatric central nervous system infections. Semin Pediatr Neurol 6:299–317

    Article  PubMed  CAS  Google Scholar 

  6. Kieck JR, Andronikou S (2004) Usefulness of neuro-imaging for the diagnosis of HIV encephalopathy in children. S Afr Med J 94:628–630

    PubMed  CAS  Google Scholar 

  7. Mintz M (1996) Neurological and developmental problems in pediatric HIV infection. J Nutr 126(10 Suppl):2663S–2673S

    PubMed  CAS  Google Scholar 

  8. Van der Weert EM, Hartgers NM, Schaaf HS et al (2006) Comparison of diagnostic criteria of tuberculous meningitis in human immunodeficiency virus-infected and uninfected children. Pediatr Infect Dis J 25:65–69

    Article  PubMed  Google Scholar 

  9. Theron S, Andronikou S, Grobbelaar M et al (2006) Localized basal meningeal enhancement in tuberculous meningitis. Pediatr Radiol 36:1182–1185

    Article  PubMed  Google Scholar 

  10. Wrzolek MA, Brudkowska J, Kozlowski PB et al (1995) Opportunistic infections of the central nervous system in children with HIV infection: report of 9 autopsy cases and review of literature. Neuropathology 14:187–196

    CAS  Google Scholar 

  11. Burke DG, Leonard DG, Imperiale TE et al (1999) The utility of clinical and radiographic features in the diagnosis of cytomegalovirus central nervous system disease in AIDS patients. Mol Diagn 4:37–43

    Article  PubMed  CAS  Google Scholar 

  12. Laurencikas E, Sandstedt B, Söderman M (2006) Intrathecal aspergillosis and fusiform arterial aneurysms in an immunocompromised child: a clinico-pathological case report. Childs Nerv Syst 22:1497–1501

    Article  PubMed  Google Scholar 

  13. Zee CH, Segall H (1994) Infectious processes of the brain. In: Haaga JR, Lanzieri CF, Sartoris DJ et al (eds) Computed tomography and magnetic resonance imaging of the whole body, 3rd edn. Mosby, New York, p 258

    Google Scholar 

  14. van Toorn R, Rabie H (2005) Pseudocystic cryptococcal meningitis complicated by transient periaqueductal obstruction in a child with HIV infection. Eur J Paediatr Neurol 9:81–84

    Article  PubMed  Google Scholar 

  15. Jain KK, Mittal SK, Kumar S et al (2007) Imaging features of central nervous system fungal infections. Neurol India 55:241–250

    Article  PubMed  Google Scholar 

  16. Offiah CE, Turnbull IW (2006) The imaging appearances of intracranial CNS infections in adult HIV and AIDS patients. Clin Radiol 61:393–401

    Article  PubMed  CAS  Google Scholar 

  17. Pelosini M, Focosi D, Rita F et al (2008) Progressive multifocal leukoencephalopathy: report of three cases in HIV-negative hematological patients and review of literature. Ann Hematol 87:405–412

    Article  PubMed  Google Scholar 

  18. Shah I, Chudgar P (2005) Progressive multifocal leukoencephalopathy (PML) presenting as intractable dystonia in an HIV-infected child. J Trop Pediatr 51:380–382

    Article  PubMed  Google Scholar 

  19. Safriel YI, Haller JO, Lefton DR et al (2000) Imaging of the brain in the HIV-positive child. Pediatr Radiol 30:725–732

    Article  PubMed  CAS  Google Scholar 

  20. Marriage S, Booy R, Lyall EG et al (1996) Cytomegalovirus myelitis in a child infected with human immunodeficiency virus type 1. Pediatr Infect Dis J 15:549–551

    Article  PubMed  CAS  Google Scholar 

  21. Puthanakit T, Oberdorfer P, Akarathum N et al (2006) Immune reconstitution syndrome after highly active antiretroviral therapy in human immunodeficiency virus-infected Thai children. Pediatr Infect Dis J 25:53–58

    Article  PubMed  Google Scholar 

  22. Shah SS, Zimmerman RA, Rorke LB et al (1996) Cerebrovascular complications of HIV in children. AJNR 17:1913–1917

    PubMed  CAS  Google Scholar 

  23. Patsalides AD, Wood LV, Atac KG et al (2002) Cerebrovascular disease in HIV-infected pediatric patients: neuroimaging findings. AJR 179:999–1003

    PubMed  Google Scholar 

  24. Bulsara KR, Raja A, Owen J (2005) HIV and cerebral aneurysms. Neurosurg Rev 28:92–95

    Article  PubMed  Google Scholar 

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Correspondence to Reena George.

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George, R., Andronikou, S., du Plessis, J. et al. Central nervous system manifestations of HIV infection in children. Pediatr Radiol 39, 575–585 (2009). https://doi.org/10.1007/s00247-009-1170-4

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  • DOI: https://doi.org/10.1007/s00247-009-1170-4

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