ALGORITHMS FOR THE TREATMENT OF AIDS PATIENTS WITH NEUROLOGICAL DISEASES NLM AIDSLINE Important note: Information in this article was accurate in 1989. The state of the art may have changed since the publication date.

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ALGORITHMS FOR THE TREATMENT OF AIDS PATIENTS WITH NEUROLOGICAL DISEASES

AIDS and the Nervous System. Rosenblum ML et al, eds. New York, Raven Press, p. 389-95, 1988.. Unique Identifier : AIDSLINE ICDB/89648477
Rosenblum ML; Bredesen DE; Levy RM; Dept. of Neurosurgery, Box 0112, Room M-786, Univ. of California; Sch. of Medicine, San Francisco, CA 94143

Abstract: Methods of evaluating and treating patients (pts) with AIDS who develop neurologic problems have been in a continuous state of evolution. As new diseases are diagnosed and new treatments are made available, algorithms for clinical decision making are bound to change. Management of pts with neurological complications related to infection with HIV, as it is conducted at the University of California, San Francisco, is described. Among the conditions found in these pts that require management are chronic inflammatory demyelinating polyradiculoneuropathy, mononeuropathy multiplex, distal symmetrical peripheral neuropathy, cytomegalovirus and herpes simplex virus infection, mycobacterial, coccidioid or toxoplasma infections, hydrocephalus, mass lesions and space occupying lesions that do not produce a mass effect, and stupor-coma. Algorithms (flow charts showing decisions and alternatives) are presented for the evaluation and treatment of peripheral nervous system dysfunction, cranial neuropathy, intracerebral or brain stem symptoms, and intracranial mass lesions. Treatments discussed include radiotherapy, chemotherapy (ganciclovir, acyclovir, amphotericin B, 5-flucytosine, azidothymidine), antibiotic therapy (sulfadiazene and pyrimethamine), and open biopsy with decompression.
Keywords: Acquired Immunodeficiency Syndrome/COMPLICATIONS/*THERAPY *Algorithms Brain Diseases/ETIOLOGY/THERAPY Brain Neoplasms/ETIOLOGY/THERAPY Cranial Nerve Diseases/ETIOLOGY/THERAPY Human Nervous System Diseases/ETIOLOGY/*THERAPY Opportunistic Infections/ETIOLOGY/THERAPY Peripheral Nervous System Diseases/ETIOLOGY/THERAPY MONOGRAPH

KWDacquiredimmunodeficiencysyndrome/complications/KWDtherapyKWDalgorithmsbraindiseases/etiology/therapybrainneoplasms/etiology/therapycranialnervediseases/etiology/therapyhumannervoussystemdiseases/etiology/KWDtherapyopportunisticinfections/etiology/therapyperipheralnervoussystemdiseases/etiology/therapymonograph
890130
M8910531

Copyright © 1989 - National Library of Medicine. Reproduced under license with the National Library of Medicine, Bethesda, MD.

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