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Weber's syndrome due to a possible solitary brainstem toxoplasmosis as a presenting sign of AIDS
Author(s) -
Orefice G.,
Volpe G.,
Liuzzi G.,
D'Abbraccio M.,
Coppola M.,
Cataldo P. Tullio
Publication year - 1995
Publication title -
european journal of neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.881
H-Index - 124
eISSN - 1468-1331
pISSN - 1351-5101
DOI - 10.1111/j.1468-1331.1995.tb00142.x
Subject(s) - medicine , toxoplasmosis , brainstem , computed tomographic , magnetic resonance imaging , pediatrics , intravenous drug , sign (mathematics) , lesion , radiology , computed tomography , human immunodeficiency virus (hiv) , pathology , psychiatry , viral disease , immunology , mathematical analysis , mathematics
We report the case of a young man, with a previous history of parenteral drug abuse, who developed a Weber's syndrome. Brain computed tomographic scan and nuclear magnetic resonance imaging showed a single ring enhancing lesion in the right mesencephalic site. After the demonstration of seropositivity for human immunodeficiency vims, a presumptive diagnosis of cerebral toxoplasmosis in an AIDS patient was made and a specific treatment was started. A partial neuroradiological and clinical improvement were obtained. Opportunistic cerebral lesions, as first manifestation of AIDS, should be always considered in subjects at risk for AIDS who present a brainstem syndrome.