Abstract
The authors present the different aspects of HIV encephalitis in CT and MR in a series of 15 patients with anatomopathological proof. Atrophy was the most commonly found lesion (12 patients) and could rapidly be evolutive. White matter lesions (9 patients) were more of ten nodular than diffuse. They were better demonstrated by MRI and did not enhance after intra-venous injection of DOTA-gadolinium. A frequent association with opportunistic infections (toxoplasmosis: 10 patients, CMV:2 patients), lymphoma (4 patients), or PML (3 patients) was observed which emphasized the low specificity of brain imaging in patients with HIV encephalitis.
MeSH terms
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AIDS Dementia Complex / diagnosis*
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AIDS Dementia Complex / diagnostic imaging
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AIDS-Related Opportunistic Infections / diagnosis
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AIDS-Related Opportunistic Infections / diagnostic imaging
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Adult
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Atrophy
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Brain Neoplasms / diagnosis
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Brain Neoplasms / diagnostic imaging
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Contrast Media
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Cytomegalovirus Infections / diagnosis
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Cytomegalovirus Infections / diagnostic imaging
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Encephalitis, Viral / diagnosis*
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Encephalitis, Viral / diagnostic imaging
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Female
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Gadolinium
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Heterocyclic Compounds
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Humans
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Leukoencephalopathy, Progressive Multifocal / diagnosis
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Leukoencephalopathy, Progressive Multifocal / diagnostic imaging
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Lymphoma, AIDS-Related / diagnosis
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Lymphoma, AIDS-Related / diagnostic imaging
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Magnetic Resonance Imaging*
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Male
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Organometallic Compounds
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Tomography, X-Ray Computed*
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Toxoplasmosis, Cerebral / diagnosis
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Toxoplasmosis, Cerebral / diagnostic imaging
Substances
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Contrast Media
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Heterocyclic Compounds
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Organometallic Compounds
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gadolinium 1,4,7,10-tetraazacyclododecane-N,N',N'',N'''-tetraacetate
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Gadolinium