Wimberger D, Kramer J, Kollegger H, Mayrhofer G, Imhof H
Zentrales Institut für Radiodiagnostik, Universität Wien.
Wien Klin Wochenschr. 1990 Jan 19;102(2):47-51.
The central nervous system of nearly every HIV-positive patient becomes affected by the AIDS virus itself or by one of the associated diseases during the course of the illness. Early diagnosis of lesions which demand therapeutic consequences is of the most importance concerning prolongation of life and improvement in its quality. In spite of the frequent underestimation of cerebral involvement by imaging methods and their unspecific findings they are often the only diagnostic means which permit-timely diagnosis and, at least in some diseases, therapeutic monitoring. Indications for cranial computed tomography (CCT) or magnetic resonance tomography (MRT) are already present with mild or transient neurological or psychiatric symptoms or the extracerebral manifestation of neurotropic organisms or tumours which metastasize to the brain, even in patients without subjective complaints.
几乎每一位艾滋病毒阳性患者的中枢神经系统在病程中都会受到艾滋病病毒本身或一种相关疾病的影响。对于需要采取治疗措施的病变进行早期诊断，对于延长生命和提高生活质量至关重要。尽管影像学方法常常低估脑部受累情况且其结果不具特异性，但它们往往是唯一能够实现及时诊断的手段，并且至少在某些疾病中可用于治疗监测。即使在没有主观症状的患者中，当出现轻度或短暂的神经或精神症状、嗜神经微生物或转移至脑部的肿瘤的脑外表现时，就已经有进行头颅计算机断层扫描（CCT）或磁共振断层扫描（MRT）的指征。
