NEOCORTICAL DAMAGE DURING HIV-INFECTION

被引:441
作者
WILEY, CA [1 ]
MASLIAH, E [1 ]
MOREY, M [1 ]
LEMERE, C [1 ]
DETERESA, R [1 ]
GRAFE, M [1 ]
HANSEN, L [1 ]
TERRY, R [1 ]
机构
[1] UNIV CALIF SAN DIEGO,DEPT NEUROSCI,LA JOLLA,CA 92093
关键词
D O I
10.1002/ana.410290613
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Clinical and pathological evidence of subcortical central nervous system (CNS) damage is observed commonly in patients with human immunodeficiency virus (HIV) encephalitis. Whether other CNS regions are also affected has not been well studied. We report neocortical damage in patients with HIV encephalitis. Using quantitative techniques, we demonstrate statistically significant thinning of the neocortex, with a loss of large cortical neurons. Qualitative and quantitative assessments of neocortical neuropil reveal a loss of synaptic density and vacuolation of dendritic processes. Failure to demonstrate an association of these changes with the presence of HIV antigens suggests that neocortical damage may be an indirect effect of HIV infection of the CNS.
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页码:651 / 657
页数:7
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