AIDS dementia complex (ADC) can occur in people with AIDS . ADC results in changes in multiple neurologic areas:
ADC is a common nervous system complication of late-stage HIV infection.
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Factors that may increase your chance of having ADC include:
Symptoms usually develop slowly and worsen over time. They can be grouped into stages:
Walking, balance, and coordination require a great deal of effort at this stage.
Your doctor will ask about your symptoms and medical history. A physical exam will be done.
Tests may include:
Talk with your doctor about the best treatment plan for you. Treatment options include:
Anti-HIV drugs are often used to treat ADC. Your doctor will create a medication plan that is right for you. These drugs are often given in combination.
Other medications may be used along with antiretroviral therapy to treat symptoms of ADC. These may include:
ADC occurs in people with HIV. Ways to help reduce your chance of getting HIV include:
American Foundation for AIDS Research
National Association of People with AIDS
AIDS Committee of Toronto
Canadian AIDS Society
AIDS dementia complex. University of California at San Francisco website. Available at: http://hivinsite.ucsf.edu/InSite?page=id-01-08 . Accessed September 4 ,2013.
HIV-associated dementia. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed.ebscohost.com/about/about-us . Updated March 7, 2013. Accessed September 4, 2013.
Luo X, Carlson KA, Wojna V, et al. Macrophage proteomic fingerprinting predicts HIV-1-associated cognitive impairment. Neurology. 2003;60:1931-1937.
Meehan RA, Brush JA. An overview of AIDS dementia complex. Am J Alzheimers Dis Other Demen. 2001;16:225-229.
Nicholas MK, Lukas R, van Besein K. Textbook of Neurological Surgery . 6th ed. Philadelphia, PA: Lippincott, Williams, and Wilkins; 2011: chap 46.
Last reviewed September 2013 by Rimas Lukas, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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