Cerebrospinal fluid and nerve conduction abnormalities in HIV positive individuals

Richard J. Barohn, Gary S. Gronseth, Anthony A. Amato, Stephen A. McGuire, April L. McVey, Bruce R. LeForce, Randall B. King

Research output: Contribution to journalArticle

9 Scopus citations

Abstract

We studied whether there was an association between nerve conduction studies (NCS), CSF, and CDCT lymphocyte parameters in a large cohort of HIV positive individuals. Two hundred and twenty-eight HIV positive individuals underwent motor and sensory nerve conduction studies, CSF evaluation, peripheral CD4-T lymphocyte count, and neurologic evaluation to determine the presence or absence of peripheral neuropathy. We compared NCS of HIV positive subjects with and without abnormal CSF parameters in the entire cohort. We also compared CSF parameters in a subset of CD4-matched patients with and without neuropathy. CSF abnormalities (in excess of laboratory norms) occurred frequently in the entire study group. There was no statistically significant relationship between NCS and CSF parameters, In addition, there was no significant difference in the CSF findings in the group of patients with clinical neuropathy compared to the group without neuropathy. However, there was an association (p < 0.05) between lower CD4 counts and NCS parameters. In general, abnormal CSF findings are not associated with deteriorating peripheral nerve function in HIV infected patients and are just as likely to be found in an HIV positive patient whether or not a peripheral neuropathy is present.

Original languageEnglish (US)
Pages (from-to)81-85
Number of pages5
JournalJournal of the Neurological Sciences
Volume136
Issue number1-2
DOIs
StatePublished - Jan 1 1996

Keywords

  • AIDS
  • CD4-T lymphocyte count
  • Cerebrospinal fluid
  • HIV
  • Nerve conduction studies
  • Peripheral neuropathy

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

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