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Dr. Branislav Svoren Specialist Physician in Rehabilitation Medicine

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Presentation on theme: "Dr. Branislav Svoren Specialist Physician in Rehabilitation Medicine"— Presentation transcript:

1 Dr. Branislav Svoren Specialist Physician in Rehabilitation Medicine
HIV - ENCEPHALOPATHY Dr. Branislav Svoren Specialist Physician in Rehabilitation Medicine

2 HIV - Encephalopathy 2 VIRUS HIV DEMAGE BASAL GANGLIA AND
FRONT PART OF THE BRAIN. LONG TIME INFECTED PEOPLE DEVELOP DEMENTIA

3 HIV - Encephalopathy 3 BEFORE WE WERE THINKING THAT RETROVIRAL DRUGS SPEED BRAIN DEMAGE. THAT ARE BASIC FOR OUR DISCUSSION TODAY

4 HIV - Encephalopathy 4 HUMAN IMMUNODEFICIENCY VIRUS (HIV) ENTERS THE CENTRAL NERVOUS SYSTEM (CNS) CONDITIONS OVER THE COURSE OF THE DISEASE, SUCH AS HIV ENCEPHALOPATHY AND AIDS DEMENTIA COMPLEX

5 HIV - Encephalopathy 5 AS PART OF THE ACUTE HIV SYNDROME DURING SEROCONVERSION (is the time period which is specific antibody develops and becomes detectable in the blood) PATIENT MAY EXPERIENCE HIV ENCEPHALOPATHY

6 HIV - Encephalopathy 6 PRIOR TO THE ADVENT OF HIGHLY ACTIVE
ANTIRETROVIRAL THERAPY (HAART), DEMENTIA WAS COMMON SOURCE OF MORTALITY IN HIV-INFECTED PATIENTS

7 HIV - Encephalopathy 7 IT WAS USUALLY OBSERVED IN THE LATE STAGES OF ACQUIRED AIDS WHEN CD4 LYMPHOCYTE COUNTS FALL BELOW 200 CELLS/ML AS WAS SEEN IN UP TO 50 % OF PATIENTS PRIOR TO THEIR DEATHS

8 HIV - Encephalopathy 8 IN 1986 THE TERM AIDS DEMENTIA COMPLEX WAS INTRUDUCED TO DESCRIBE A UNIQUE CONSTELLATION OF NEUROBEHAVIORAL FINDINGS

9 HIV - Encephalopathy 9 THE OVERALL PSYCHOSOCIAL AND
EMOTIONAL BURDEN ON THE FAMILY AND FRIENDS OF PATIENTS WITH HIV DEMENTIA IS TREMENDOUS

10 HIV - Encephalopathy 10 HIV INFECTION REDUCE IMMUNITY SYSTEM BUT NO ONE DIED OF HIV PRIMARY INFECTION

11 HIV - Encephalopathy 11 PEOPLE WITH HIV - ENCEPHALOPATHY HAVE PROBLEM S WITH THEIR MEMORY FOR EXAMPLE THY MAY FORGET WHERE THEY HAVE PUT THINGS OR THE NAMES OF PEOPLE THEY KNOW WELL

12 HIV - Encephalopathy 12 THEY MAY GET LOST IN FAMILIAR SURROUNDINGS OR HAVE DIFFICULTY RECOGNISING FACES

13 HIV - Encephalopathy 13 SOMETIMES IT MAY SEEM AS IF THEIR PRSONALITY HAS CHANGED OR THAT THEY HAVE BECOME DEPRESSED

14 HIV - Encephalopathy 14 HIV - Encephalopathy CAN ALSO CAUSE PHYSICAL MOVEMENT TO SLOW DOWN THINGS THAT ARE USUALLY QUICK TO DO SUCH AS PUTTING ON SHOES OR BRUSHING TEETH, MAY START TO TAKE A LONG TIME

15 IS THERE ANY TREATMENT FOR HIV – encephalopathy ? (15)
ARV TRIPLE DRUGS ARE VERY EFFECTIVE AGAINST HIV AND CAN SLOW DOWN THE PROGRESSION OF THE DISEASE

16 HIV - Encephalopathy 16 APART FROM ARV DRUGS THERE IS CYRRENTLY NO OTHER SPECIFIC TREATMENT FOR HIV - Encephalopathy

17 CAN HIV - Encephalopathy BE PREVENTED ? (17)
HIV – Encephalopathy OCCURS WHEN HIV INFECTION HAS BECOME ADVANCED AND IS A FEATURE OF AIDS

18 HIV - Encephalopathy 18 IF HIV IS DIAGNOSED EARLY ENOUGH ARV DRUGS CAN PREVENT PROGRESSION TO AIDS SO MOST OF THOSE WITH HIV DO NOT GO TO DEVELOP HIV - Encephalopathy

19 PATHOPHYSIOLOGY HIV - Encephalopathy (19)
HIV IS THOUGHT TO ENTER THE BRAIN VIA INFECTED MACROPHAGES AND LYMPHOCYTES. THE VIRUS REPLICATES IN CELLS. HIV INFECTION CAN BE DETECTED IN CEREBROSPINAL FLUID

20 HIV - Encephalopathy 20 STAGING OF AIDS DEMENTIA COMPLEX STAGE 0 MENTAL AND MOTOR FUNCTIONS ARE NORMAL STAGE 1 ADL IMPAIRMENT. PATIENT CAN WALK WITHOUT ASSISTANCE

21 HIV - Encephalopathy 21 STAGE 2 THE PATIENT IS ABLE TO PERFORM BASIC
ACTIVITIES OF SELF-CARE STAGE 3 THE PATIENT HAS MAJOR INTELLECTUAL ACTIVITIES, MOTOR DISABILITY PRECLUDES

22 HIV - Encephalopathy 22 STAGE 4 THE PATIENT IS IN A NEARLY VEGETATIVE STAGE, INTELLECTUAL AND SOCIAL ARE AT A RUDIMENTAL LEVEL, NEARLY OR APSOLUTELY MUTE, URINARY AND FECAL INCONTINENCE.


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