J Med Assoc Thai 2002; 85 (5):634

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AIDS-Related Primary Central Nervous System Lymphoma: Prolonged Remission Associated with Highly Active Antiretroviral Therapy
Chotmongkol V Mail, Pesee M

A 36-year-old HIV -seropositive man developed progressive confusion and unilateral tremor
of the hand. His medical history included cryptococcal meningitis and CMV colitis. CT scan revealed
a single hyperdense mass with minimal peripheral enhancement at the region of the cerebral peduncle
and pons, causing obstructive hydrocephalus. He was treated with ventriculo-peritoneal shunt and
cranial radiotherapy. He also received treatment with highly active antiretroviral therapy (HAART).
A CD4+ cell count was increased from 2 to 345 cells/mm
3
*
He returned to normal function for
about 32 months after treatment.
Key word : AIDS, Primary Central Nervous System Lymphoma, HAART

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