Cerebrospinal fluid syndromes in HIV-positive patients with acute consciousness compromise

• Main Authors: Batista Marcus Sabry Azar, Sesso Ricardo C.C., Reis-Filho João Batista dos
• Format: Article in Journal/Newspaper
• Language: English
• Published: Sociedade Brasileira de Medicina Tropical (SBMT) 1999
• Subjects: Cerebrospinal fluid; Delirium; Somnolence; AIDS; HIV; Arctic medicine. Tropical medicine; RC955-962; Arctic
• Online Access: https://doaj.org/article/30d876780ce84e5c932d902979b991da

We reviewed the cerebrospinal fluid (CSF) syndromes of 100 consecutive HIV-positive patients presenting acute consciousness compromise in emergency rooms, and correlated them with clinical data. The most frequent CSF syndromes were: absolute protein-cytological dissociation (21), viral (19), neurocryptococcosis (7), relative protein-cytological dissociation (6) and septic (4), moderate hypoglycorrachia (4), severe hypoglycorrachia (4) and hydroelectrolytic disturbance (3). One fifth of the patients had CSF syndromes considered sufficient for diagnosis or an immediate clinical decision. The most common clinical data were infective and neurological. There was little correlation between the clinical data and the CSF syndromes. We conclude that in HIV-positive individuals presenting acute consciousness disturbances there are frequently non-specific results in the CSF analysis that must be weighed against a detailed history and thorough physical examination. Taking this into account, in about one fifth of cases the CSF analysis can offer useful information for treatment.