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Progressive hemispheric atrophy in HIV: A Rasmussen's-like variant of CD8 encephalitis?
Maria Thom1,2, Graham Warner3, Marie Williamson4
1Department of Neuropathology, National Hospital for Neurology and Neurosurgery, National Hospital for Neurology and Neurosurgery, London, UK.
Abstract:
We report two cases of progressive lateralising encephalopathy in adult patients with treated HIV in the absence of opportunistic infection or vasculitis. One case was characterised by CD8 cortical infiltrates and was steroid responsive and may represent a variant of CD8 encephalitis. The other case presented with focal seizures and episodes of status epilepticus and pathology showed severe cortical atrophy with features reminiscent of the chronic phase of Rasmussen's encephalitis.
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