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J Neurol Neurosurg Psychiatry 2007;78:526 doi:10.1136/jnnp.2006.108282
  • Neurological picture

Multiple ring enhancing lesions in brain MRI of a patient with AIDS

  1. Mohammad Tahir1,
  2. Chandan J Das2,
  3. S K Sharma3,
  4. Sanjeev Sinha3,
  5. U B Singh4
  1. 1Department of Medicine, All India Institute of Medical Sciences, New Delhi, India
  2. 2Department of Radiodiagnosis, All India Institute of Medical Sciences, New Delhi, India
  3. 3Department of Medicine, All India Institute of Medical Sciences, New Delhi, India
  4. 4Department of Microbiology, All India Institute of Medical Sciences, New Delhi, India
  1. Correspondence to:
 Dr Chandan J Das
 Department of Radiodiagnosis, All India Institute of Medical Sciences, New Delhi 110029, India; dascj{at}yahoo.com

    A 25-year-old woman presented in altered sensorium that developed after an episode of complex partial seizure 6 days ago. She had a history of low-grade fever, anorexia and weight loss for 6 months. She also had productive cough for 4 weeks. She was febrile and breathing fast. Her neck was supple and no meningeal signs were present. Deep tendon reflexes were hyperactive and fundus examination was normal. She had generalised lymphadenopathy.

    Serum electrolytes were normal. Lumbar puncture was performed and cerebrospinal fluid (CSF) opening pressure was normal. CSF examination showed increased proteins, normal glucose …

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