What is the role of brain imaging in the workup of HIV-associated meningitis?

Updated: Aug 24, 2017
  • Author: Gulshan Uppal, MD; Chief Editor: Niranjan N Singh, MBBS, MD, DM, FAHS, FAANEM  more...
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Answer

Answer

Findings on brain imaging may be nonspecific because of concurrent nonmeningitic neurologic complications of HIV, such as atrophy in cases of AIDS dementia/HIV encephalopathy.

Ependymal enhancement is seen with CMV ventriculoencephalitis.

Radiographic imaging of the brain must be performed prior to lumbar puncture if there is a concern for increased intracranial pressure (ICP) and/or other space-occupying lesions. 


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