艾滋病的神经系统特征

Neurological features of AIDS

目的 :国内艾滋病 (AIDS)病例逐年增加 ,但神经科诊断的病例很少 ,分析艾滋病的神经系统特征以期提高诊断率。方法 :回顾分析 5例艾滋病患者的临床资料及脑脊液特征。结果 :本组AIDS患者分别占同期神经科出院总人数、各种脑膜脑炎和隐球菌脑膜脑炎的 0 5 5 %、2 5 %与 10 0 % ,其病史及脑脊液有其特征性。结论 :艾滋病在神经科并非少见 ,对新型隐球菌脑膜炎等高危人群进行HIV筛查。

objective:Although the number of patients with AIDS reported in China is on the increaseing,there is only a few cases of AIDS diagnosed by neurologists.Here,we reported the neurological features of five cases of AIDS.Methods:We reviewed the clinical datas and cerebrospine fluid(CSF) changes of five cases of AIDS.Results:There were five cases of AIDS which were rated 0.55%,25%,100 in total in-patients cases(902),total meningitis cases and cryptococcal meningitis cases in the same time,respectively.Their histories and CSF changes of patients with AIDS had some features.Conclusion:It is not rare that patients with AIDS see neurologists firstly.Neurologists should seek the clues and conduct immunological assay of HIV on high risk patients.