Neurologic emergencies in HIV-negative immunosuppressed patients. / Urgencias neurológicas en el paciente inmunosuprimido no VIH.
Radiologia
; 59(1): 2-16, 2017.
Article
en En, Es
| MEDLINE
| ID: mdl-28012729
ABSTRACT
HIV-negative immunosuppressed patients comprise a heterogeneous group including transplant patients, patients undergoing treatment with immunosuppressors, uremic patients, alcoholics, undernourished patients, diabetics, patients on dialysis, elderly patients, and those diagnosed with severe or neoplastic processes. Epileptic seizures, focal neurologic signs, and meningoencephalitis are neurologic syndromes that require urgent action. In most of these situations, neuroimaging tests are necessary, but the findings can be different from those observed in immunocompetent patients in function of the inflammatory response. Infectious disease is the first diagnostic suspicion, and the identification of an opportunistic pathogen should be oriented in function of the type and degree of immunosuppression. Other neurologic emergencies include ischemic stroke, cerebral hemorrhage, neoplastic processes, and pharmacological neurotoxicity. This article reviews the role of neuroimaging in HIV-negative immunodepressed patients with a neurologic complication that requires urgent management.
Palabras clave
Central nervous system; Complicación neurológica; Emergency; Fármacos inmunosupresores; Ictus; Imagen por resonancia magnética; Immunosuppression; Immunosuppressive drugs; Infecciones oportunistas; Inmunosupresión; Magnetic resonance imaging; Neuroimagen; Neuroimaging; Opportunistic infections; Organ transplantation; Sistema nervioso central; Stroke; Trasplante de órganos; Urgencia
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Neuroimagen
/
Enfermedades del Sistema Nervioso
Tipo de estudio:
Prognostic_studies
Límite:
Humans
Idioma:
En
/
Es
Revista:
Radiologia
Año:
2017
Tipo del documento:
Article