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. 2009 Sep 16;2009:348507. doi: 10.1155/2009/348507

Table 1.

Overview of studies concerning progressive multifocal leukoencephalopathy in HIV-infected children.

Author Year reported Sex Age (years) Country Presentation MRI/CT Previous HIV- related event HAART regimen CD4 T-cell % or count (cell/μL) Viral load (copies/mL) Outcome
Baseline Nearest to episode Baseline Nearest to episode
Oberdorfer et al. 2009 M 9 Thailand Right hemiplegia Frond-like hypodense lesion at the left frontal lobe None Initially nothing then AZT, 3TC, NVP 0.21 0.21 185 976 185 976 Dead
Liptai et al. 2007 M 15 1/2 Hungary Dizzy, diplopia, clumsy right hand, unsteady gait Large, nonenhancing lesion of the right cerebellar heimsphere with a slight mass effect None reported Initially AZT, ddl then refused HAART 37 10.5 2900 256 000 Dead
Shah and Chudgar. 2005 F 8 1/2 India Right-sided dystonia, inability to talk, eat, or sit Asymmetrical subcortical, right frontoparietal, left occipitoparietal and left vasal ganglia lesions Generalized tonic clonic seizures and loss of consciousness Initially nothing then AZT, 3TC, EFV, NLF 320 Alive, still has dystonia
Robinson et al. 2004 M 17 USA Dysarthric speech, facial palsy Multiple confluent areas of high signal and fluid attenuated inversion recovery in the corona radiata bilaterally Pneumocystis jiroveci pneumonia Initially AZT, 3TC then d4T, NVP, lopinavir/ ritonavir then included cidofovir 3 3 10–90 000 29 100 Stable, wide-based gait, dysarthria, right-sided tongue deviation
Nuttall et al. 2004 M 12 South Africa Acute cerebellar dysfunction, hemiparesis Nonenhancing low density lesion in the left cerebellar hemisphere Growth failure, chronic lung disease d4T, 3TC, efavirenz 1.08 5.45 96 000 Undetectable Stable, mild cerebellar dysfunction
Inui et al. 1999 M 12 Jaban Left upper extremity weakness White matter lesions of the right frontal, parietal and occipital lobes Candida stomatitis AZT then ritonavir and 3TC added 9.5 7600 Stable, left hemiparesis
Araujo et al. 1997 M 10 Brazil Subacute cerebellar dysfunction, dementia Focal nonenhancing area of low attenuation in the cerebellum None reported
Morriss et al. 1997 M 7 USA Decreased activity, slurred speech, ataxia Confluent, nonenhancing, low density lesion in the right cerebellar white matter, middle cerebellar peduncle and dorsolateral pons Candida esophagitis ddc 0 Death
Whiteman et al. 1993 M 10 USA
F 12 USA Increased signal intensity in the basal ganglia and corona radiata bilaterally
Berger et al. 1992 F 13 USA Dysarthria, paresthesias of tongue and chin Sinusitis and hyperintense signals in the basal ganglia Oral candidiasis AZT 421 7 Death
M 10 USA Facial palsy Left frontal lobe lesion Pneumocystis jiroveci pneumonia AZT 100 Death
Vandersteenhoven et al. 1992 M 7 USA Decreased activity, left hemiparesis, falling Bilateral confluent abnormal white matter hyperintensity in the region of the right subcortical/ periventricular region None reported Initially nothing then AZT 390 Death