n SA Journal of Radiology - Neurological case : cognitive decline and depressed level of consciousness in AIDS : quiz case

Volume 15, Issue 1
  • ISSN : 1027-202X
  • E-ISSN: 2078-6778



A 39-year-old man was referred from a rural hospital. On examination, he had a new onset left hemiplegia, left gaze palsy and decreased level of consciousness. Prior to the acute deterioration, he had shown progressive decline in his cognitive functioning. He was known to be HIV-positive with a CD4 count of 19. He was not on anti-retroviral therapy (ART) at the time of admission. Two years earlier, he had been diagnosed with pulmonary tuberculosis and had completed his prescribed treatment.

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