Important note: Information in this article was accurate in 2005. The state of the art may have changed since the publication date.



Question:

I have been HIV+ since 1992, AIDS since 1996. Multi drug resistant, lowest CD4 31 (1996) and 39 (2001), VL is 381 and rising on a failing regimen (has been all over the map in the past). I have been complaining of "cranial pressure", not a headache but like my skull is too small, up and down vision changes, trouble concentrating, remembering things read, memory in general (I live by routine or I forget), drunk feeling, dizziness, zoning out. Until recently I didn't have coverage that would pay for any testing, so my doctors told me to try Ibuprofen (I fired that doc)...my question is what if any tests would you recommend or think necessary?

Your input in greatly appreciated.

Answer provided by:

John Barrow, M.D.

Any time a patient has the kind of complaint you describe, a physical examination is indicated. After that, I suppose that a CT scan of the head might be indicated, depending on what the results of the physical and patient interview suggested.

I would certainly be insistent about describing these problems to my new doctor.



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