Neurologic Complications of Pediatric Human Immunodeficiency Virus: Implications for Clinical Practice and Management Challenges in the African Setting
| Autor: | Jo M. Wilmshurst, Brian Eley, Jackie Hoare, Kirsten A. Donald |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
medicine.medical_specialty
Pediatrics education.field_of_study Neurology business.industry Encephalopathy Population HIV Infections Disease Neurologic Effect medicine.disease Virus Acquired immunodeficiency syndrome (AIDS) Africa Pediatrics Perinatology and Child Health medicine Humans Neurology (clinical) Nervous System Diseases education business Neurocognitive |
| Zdroj: | Seminars in Pediatric Neurology. 21:3-11 |
| ISSN: | 1071-9091 |
| Popis: | Approximately 3.4 million children worldwide are affected with human immunodeficiency virus (HIV)/AIDS with more than 90% of them residing in sub-Saharan Africa, according to the World Health Organization. A significant proportion of the children eligible for treatment with antiretroviral therapy are not currently receiving it. Neurologic manifestations of HIV are common in both adults and children. There is a large spectrum of neurologic conditions that may be caused by the virus; however, early invasion of the central nervous system by the virus, affecting the developing fetal and infant brain, is believed to result in the most common primary HIV-related central nervous system complication, HIV encephalopathy. This article summarizes the spectrum of neuro-HIV in children, focuses on the neurocognitive and behavioral sequelae, reviews the effects of treatment on the primary neurologic effects of the disease, and discusses the specific challenges of identifying and managing these problems in resource-limited contexts, such as those found on the African continent. |
| Databáze: | OpenAIRE |
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