Skip to main content

HIV-Related Dementia: Pathology and Possible Pathogenesis

  • Chapter
The Neuropathology of HIV Infection

Abstract

Soon after HIV-1 was identified as the cause of AIDS, the notion that some neurological disorders described in these patients (Johnson et al, 1988; Michaels et al, 1988a; Price et al, 1988a) could be due to the neurotropism of the virus (Shaw et al, 1985; Price et al, 1988a) became widely accepted. However, viral neurotropism is a concept encompassing the ability to invade and cause disease of the nervous system, as well as the capacity to replicate in neuroectodermal cells (Johnson et al, 1988). With regard to the in vivo situation of HIV infection, the third criterion still awaits confirmation as discussed in detail below.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • American Psychiatric Association. (1980) Committee on Nomenclature and Statistics: Diagnostic and statistical manual of mental disorders, 3rd edn. American Psychiatric Association: Washington, DC.

    Google Scholar 

  • Anand R, Thayer R, Srinivasan A et al. (1989) Biological and molecular characterization of human immunodeficiency virus (HIV-1BR) from the brain of a patient with progressive dementia. Virology 168:79–89.

    Article  PubMed  CAS  Google Scholar 

  • Artigas J, Niedobitek F, Grosse G et al. (1989a) Spongiform encephalopathy in AIDS dementia complex: report of five cases. J AIDS 2:374–81.

    CAS  Google Scholar 

  • Artigas J, Freund K, Grosse G et al. (1989b) Immunhistochemische Darstellung von HIV-p24-Antigen in formalinfixiertem und paraffineingebettetem Hirn- und Riickenmarksgewebe. Pathologe 10:61–3.

    PubMed  CAS  Google Scholar 

  • Baum MK, Beach R, Morgan R et al. (1990) Vitamin B12 and cognitive function in HIV infection. VIth Internat Conf AIDS, San Francisco, CA.

    Google Scholar 

  • Beutler B, Cerami A. (1987) Cachectin: more than a tumor necrosis factor. N Engl J Med 316:379–85.

    Article  PubMed  CAS  Google Scholar 

  • Brenneman DE, Westbrook GL, Fitzgerald SP et al. (1988) Neuronal cell killing by the envelope protein of HIV and its prevention by vasoactive intestinal peptide. Nature 335:639–42.

    Article  PubMed  CAS  Google Scholar 

  • Budka H. (1986) Multinucleated giant cells in brain: a hallmark of the acquired immune deficiency syndrome (AIDS). Acta Neuropathol 69:253–8.

    Article  PubMed  CAS  Google Scholar 

  • Budka H. (1987) Das morphologische Korrelat der HIV Infektion des Gehirns. In: Fischer P-A, Schlote W. AIDS und Nervensystem. Springer: Berlin, 117–32.

    Chapter  Google Scholar 

  • Budka H. (1988) Pathogenesis of human immunodeficiency virus (HIV)-associated brain lesions: a neuropathological evaluation. Ann NY Acad Sci 540:630–3.

    Article  PubMed  CAS  Google Scholar 

  • Budka H. (1989) Human immunodeficiency virus (HIV)induced disease of the central nervous system: pathology and implications for pathogenesis. Acta Neuropathol 77:225–36.

    Article  PubMed  CAS  Google Scholar 

  • Budka H. (1990a) Neuropathology of AIDS. In: Chopra JS et al, ed. Advances in neurology, Proc XIVth World Congr Neurol, Int Congr Ser 883, Elsevier: Amsterdam 193–202.

    Google Scholar 

  • Budka H. (1990b) Human immunodeficiency virus (HIV) envelope and core proteins in CNS tissues of patients with the acquired immune deficiency syndrome (AIDS). Acta Neuropathol 79:611–19.

    Article  PubMed  CAS  Google Scholar 

  • Budka H, Lassmann H. (1988) Human immunodeficiency virus (HIV) in glial cells? J Infect Dis 157:203.

    Article  Google Scholar 

  • Budka H, Costanzi G, Cristina S et al. (1987) Brain pathology induced by infection with the human immunodeficiency virus (HIV). A histological, immunocytochemical, and electron microscopical study of 100 autopsy cases. Acta Neuropathol 75: 185–98.

    Article  PubMed  CAS  Google Scholar 

  • Budka H, Maier H, Pohl P. (1988) Human immunodeficiency virus in vacuolar myelopathy of the acquired immunodeficiency syndrome. N Engl J Med 319: 1667–8.

    Article  PubMed  CAS  Google Scholar 

  • Budka H, Wiley CA, Kleihues P et al. (1991) Consensus report. HIV-associated disease of the nervous system:183 review of nomenclature and proposal for neuropathologybased terminology. Brain Pathol 1:142–50.

    Google Scholar 

  • Buzy JM, Brenneman DE, Siegal FP et al. (1989) Cerebrospinal fluid from cognitively impaired patient with acquired immunodeficiency syndrome shows gp120-like neuronal killing in vitro. Am J Med 87:361–2.

    Article  PubMed  CAS  Google Scholar 

  • Cheng-Mayer C, Levy JA. (1990) Human immunodeficiency virus infection of the CNS: characterization of ‘neurotropic’ strains. Curr Top Microbiol Immunol 160: 145–56.

    Article  PubMed  CAS  Google Scholar 

  • Cheng-Mayer C, Rutka JT, Rosenblum ML et al. (1987) Human immunodeficiency virus can productively infect cultured human glial cells. Proc Natl Acad Sci USA 84:3526–30.

    Article  PubMed  CAS  Google Scholar 

  • Cheng-Mayer C, Weiss C, Seto O et al. (1989) Isolates of human immunodeficiency virus type 1 from the brain may constitute a special group of the AIDS virus. Proc Natl Acad Sci USA 86:8575–9.

    Article  PubMed  CAS  Google Scholar 

  • Chiodi F, Valentin A, Keys B et al. (1989) Biological characterization of paired human immunodeficiency virus type 1 isolates from blood and cerebrospinal fluid. Virology 173:178–187.

    Article  PubMed  CAS  Google Scholar 

  • Ciardi A, Sinclair E, Scaravilli F et al. (1990) The involvement of the cerebral cortex in HIV encephalopathy: a morphological and immunohistochemical study. Acta Neuropathol 80:92–4.

    Article  Google Scholar 

  • Dewhurst S, Sakai K, Bresser J et al. (1987) Persistent productive infection of human glial cells by human immunodeficiency virus (HIV) and by infectious molecular clones of HIV. J Virol 61:3774–82.

    PubMed  CAS  Google Scholar 

  • Dreyer EB, Kaiser PK, Offermann JT et al. (1990) HIV-l coat protein neurotoxicity prevented by calcium channel antagonists. Science 248:364–7.

    Article  PubMed  CAS  Google Scholar 

  • Eilbott OJ, Peress N, Burger H et al. (1989) Human immunodeficiency virus type 1 in spinal cords of acquired immunodeficiency syndrome patients with myelopathy: expression and replication in macrophages. Proc Natl Acad Sci USA 86:3337–41.

    Article  PubMed  CAS  Google Scholar 

  • Gabuzda DH, Ho DO, de la Monte SM et al. (1986) Immunohistochemical identification of HTLV-III antigen in brains of patients with AIDS. Ann Neurol 20:289–95.

    Article  PubMed  CAS  Google Scholar 

  • Giangaspero F, Scanabissi E, Baldacci MC et al. (1989) Massive neuronal destruction in human immunodeficiency virus (HIV) encephalitis. A clinico-pathological study of a pediatric case. Acta Neuropathol 78:662–5.

    Article  PubMed  CAS  Google Scholar 

  • Gray F, Gherardi R, Scaravilli F. (1988) The neuropathology of the acquired immune deficiency syndrome (AIDS). A review. Brain 11:245–66.

    Article  Google Scholar 

  • Györkey F, Melnick JL, Györkey P. (1987) Human immunodeficiency virus in brain biopsies of patients with AIDS and progressive encephalopathy. J Infect Dis 155:870–6.

    Article  PubMed  Google Scholar 

  • Harouse JM, Kunsch C, Hartle HT et al. (1989) CD4 independent infection of human neural cells by human immunodeficiency virus type 1. J Virol 63:2527–33.

    PubMed  CAS  Google Scholar 

  • Hénin O, Hauw J-J. (1989) The neuropathology of AIDS. In: McKendall RR. Handbook of clinieal neurology, vol 12(56). Elsevier: Amsterdam, 507–24.

    Google Scholar 

  • Hickey WF, Kimura H (1988) Perivascular microglial cells of the CNS are bone marrow-derived and present antigen in vivo. Science 239:290–2.

    Article  PubMed  CAS  Google Scholar 

  • Ito M, Baba M, Sato A et al. (1989) Tumor necrosis factor enhances replication of human immunodeficiency virus (HIV) in vitro. Biochem Biophys Res Commun 158:307–12.

    Article  PubMed  CAS  Google Scholar 

  • Janssen RS, Cornblath DR, Epstein LG et al. (1991) Nomenclature and research case definitions for neurological manifestations of human immunodeficiency virus type-l (HIV-l) infection. Report of a working group of the American Academy of Neurology AIDS Task Force. Neurology 41:778–85.

    Google Scholar 

  • Jarvik JG, Hesselink JR, Kennedy C et al. (1988) Acquired immunodeficiency syndrome. Magnetic resonance patterns of brain involvement with pathologic correlation. Arch Neurol 45:731–6.

    Article  PubMed  CAS  Google Scholar 

  • Johnson RT, McArthur JC, Narayan O. (1988) The neurobiology of human immunodeficiency virus infections. FASEB J 2:2970–81.

    PubMed  CAS  Google Scholar 

  • Jones HR, Ho DD, Forgacs P et al. (1988) Acute fulminating fatal leukoencephalopathy as the only manifestation of human immunodeficiency virus infection. Ann Neurol 23:519–22.

    Article  PubMed  Google Scholar 

  • Ketzler S, Weis S Haug H et al. (1990) Loss of neurons in the frontal cortex in AIDS brains. Acta Neuropathol 80:92–5.

    Article  PubMed  CAS  Google Scholar 

  • Kieburtz KD, Ketonen L, Zettelmaier AE et al. (1990) Magnetic resonance imaging findings in HIV cognitive impairment. Arch Neurol 47:643–5.

    Article  PubMed  CAS  Google Scholar 

  • Kleihues P, Lang W, Burger PC et al. (1985) Progressive diffuse leukoencephalopathy in patients with acquired immune deficiency syndrome (AIDS). Acta Neuropathol 68:333–9.

    Article  PubMed  CAS  Google Scholar 

  • Koenig S, Gendelman HE, Orenstein JM et al. (1986) Detection of AIDS virus in macrophages in brain tissue from AIDS patients with encephalopathy. Science 233:1089–93.

    Article  PubMed  CAS  Google Scholar 

  • Koyanagi Y, Miles S, Mitsuyasu RT et al. (1987) Dual infection of the central nervous system by AIDS viruses with distinct cellular tropisms. Science 236:819–22.

    Article  PubMed  CAS  Google Scholar 

  • Lang W, Miklossy J, Deruaz JP et al. (1989) Neuropathology of the acquired immune deficiency syndrome (AIDS): a report of 135 consecutive autopsy cases from Switzerland. Acta Neuropathol 77:379–90.

    Article  PubMed  CAS  Google Scholar 

  • Lenhardt TM, Wiley CA. (1989) Absence of humorally mediated damage within the central nervous system of AIDS patients. Neurology 39:278–80.

    PubMed  CAS  Google Scholar 

  • Lenhardt TM, Super MA, Wiley CA. (1988) Neuropathological changes in an asymptomatic HIV seropositive man. Ann Neurol 23:209–10.

    Article  PubMed  CAS  Google Scholar 

  • Levy RM, Bredesen DE. (1988) Central nervous system dysfunction in acquired immunodeficiency syndrome. In:Rosenblum ML, Levy RM, Bredesen DE, ed. AIDS and the nervous system. Raven Press: New York, 29–63.

    Google Scholar 

  • Lynn WS, Tweedale A, Cloyd MW. (1988) Human immunodeficiency virus (HIV-1) cytotoxicity: perturbation of the cell membrane and depression of phospholipid synthesis. Virology 163:43–51.

    Article  PubMed  CAS  Google Scholar 

  • Maier H, Budka H, Lassmann H et al. (1989) Vacuolar myelopathy with multinucleated giant cells in the acquired immune deficiency syndrome (AIDS). Light and electron microscopic distribution of human immunodeficiency virus (HIV) antigens. Acta Neuropathol 78:497–503.

    Article  PubMed  CAS  Google Scholar 

  • McArthur JC. (1987) Neurologic manifestations of AIDS. Medicine (Baltimore) 66:407–37.

    CAS  Google Scholar 

  • McArthur JC, Becker PS Parisi JE et al. (1989) Neuropathological changes in early HIV-1 dementia. Ann Neurol 26:681–4.

    Article  PubMed  CAS  Google Scholar 

  • Meltzer MS, Skillman DR, Gomatos PJ et al. (1990) Role of mononuclear phagocytes in the pathogenesis of human immunodeficiency virus infection. Annu Rev Immunol 8:169–94.

    Article  PubMed  CAS  Google Scholar 

  • Meyenhofer MF, Epstein LG, Cho E-S et al. (1987) Ultrastructural morphology and intracellular production of human immunodeficiency virus (HIV) in brain. J Neuropathol Exp Neurol 46:474–84.

    Article  PubMed  CAS  Google Scholar 

  • Michaels J, Sharer LR, Epstein LG. (1988a) Human immunodeficiency virus type 1 (HIV-1) infection of the nervous system: a review. Immunodefic Rev 1:71–104.

    PubMed  CAS  Google Scholar 

  • Michaels J, Price RW, Rosenblum MK. (1988b) Microglia in the giant cell encephalitis of acquired immune deficiency The Neuropathology of HIV Infection syndrome: proliferation, infection and fusion. Acta Neuropathol 76:373–9.

    Article  PubMed  CAS  Google Scholar 

  • Miller EN, Seines OA, McArthur J et al. (1990) Neuropsychological performance in HIV-I-infected homosexual men: the multicenter AIDS cohort study (MACS). Neurology 40:197–203.

    PubMed  CAS  Google Scholar 

  • Molina J-M, Scadden DT, Byrn R et al. (1989) Production of tumor necrosis factor alpha and interleukin 1β by monocytic cells infected with human immunodeficiency virus. J Clin Invest 84:733–7.

    Article  PubMed  CAS  Google Scholar 

  • Monte de la SM, Ho DO, Schooley RT et al. (1987) Subacute encephalomyelitis of AIDS and its relation to HTLV-III infection. Neurology 37:562–9.

    PubMed  Google Scholar 

  • Navia BA, Price RW. (1987) The acquired immunodeficiency syndrome dementia complex as the presenting or sole manifestation of human immunodeficiency virus infection. Arch Neurol 44:65–9.

    Article  PubMed  CAS  Google Scholar 

  • Navia BA, Cho E-S, Petito CK et al. (1986a) The AIDS dementia complex: II. Neuropathology. Ann Neurol 19:525–35.

    Article  PubMed  CAS  Google Scholar 

  • Navia BA, Jordan BD, Price RW. (1986b) The AIDS dementia complex: I. Clinical features. Ann Neurol 19:517–24.

    Article  PubMed  CAS  Google Scholar 

  • Nelson JA, Reynolds-Kohler C, Oldstone MBA et al. (1988) HIV and HCMV coinfect brain cells in patients with AIDS. Virology 165:286–90.

    Article  PubMed  CAS  Google Scholar 

  • Nelson JA, Ghazal P, Wiley CA. (1990) Role of opportunistic viral infections in AIDS. AIDS 4: 1–10.

    Article  PubMed  CAS  Google Scholar 

  • Pang S, Koyanagi Y, Miles S et al. (1990) High levels of unintegrated HIV-l DNA in brain tissue of AIDS dementia patients. Nature 343:85–9.

    Article  PubMed  CAS  Google Scholar 

  • Petito CK, Cho E-S, Lemann W et al. (1986) Neuropathology of acquired immunodeficiency syndrome (AIDS): an autopsy review. J Neuropathol Exp Neurol 45:635–46.

    Article  PubMed  CAS  Google Scholar 

  • Pizzo PA, Eddy J, Falloon J et al. (1988) Effect of continuous intravenous infusion of zidovudine (AZT) in children with symptomatic HIV infection. N Engl J Med 319:889–96.

    Article  PubMed  CAS  Google Scholar 

  • Popovic M, Sarngadharan MG, Read E et al. (1984) Detection, isolation, and continuous production of cytopathic retroviruses (HTLV-III) from patients with AIDS and preAIDS. Science 224:497–500.

    Article  PubMed  CAS  Google Scholar 

  • Post MJD, Tate LG, Quencer RM et al. (1988) CT, MR, and pathology in HIV encephalitis and meningitis. AJNR 9:469–76.

    Google Scholar 

  • Price RW, Brew BJ. (1988) The AIDS dementia complex. J Infect Dis 158: 1079–83.

    Article  PubMed  CAS  Google Scholar 

  • Price RW, Brew B, Sidtis J et al. (1988a) The brain in AIDS: central nervous system HIV--I infection and AIDS dementia complex. Science 239:586–92.

    Article  PubMed  CAS  Google Scholar 

  • Price RW, Sidtis JJ, Navia BA et al. (1988b) The AIDS dementia complex. In: Rosenblum ML, Levy RM, Bredesen DE, ed. AIDS and the nervous system. Raven Press: New York, 203–19.

    Google Scholar 

  • Pumarola-Sune T, Navia BA, Cordon-Cardo C et al. (1987) HIV antigen in the brains of patients with the AIDS dementia complex. Ann Neurol 21:490–6.

    Article  PubMed  CAS  Google Scholar 

  • Rhodes RH. (1987) Histopathology of the central nervous system in the acquired immune deficiency syndrome. Hum Pathol 18:636–43.

    Article  PubMed  CAS  Google Scholar 

  • Rhodes RH, Ward JM, Cowan RP et al. (1989) Immunohistochemical localization of human immunodeficiency viral antigens in formalin-fixed spinal cords with AIDS myelopathy. Clin Neuropathol 8:22–7.

    PubMed  CAS  Google Scholar 

  • Ruff MR, Martin BM, Ginns EI et al. (1987) CD4 receptor binding peptides that block HIV infectivity cause human monocyte chemotaxis. Relationship to vasoactive intestinal polypeptide. FEBS Lett 211:17–22.

    Article  PubMed  CAS  Google Scholar 

  • Schmidbauer M, Budka H, Ulrich W et al. (1989a) Cytomegalovirus (CMV) disease of the brain in AIDS and HIV-Related Dementia: Pathology and Possible Pathogenesis connatal infection: a comparative study by histology, immunocytochemistry, and in situ DNA hybridization. Acta Neuropathol 79:286–293.

    Article  PubMed  CAS  Google Scholar 

  • Schmidbauer M, Budka H, Ambros P. (1989b) Herpes simplex virus (HSV) DNA in microglial nodular brainstem encephalitis. J Neuropathol Exp Neurol 48:645–52.

    Article  PubMed  CAS  Google Scholar 

  • Schmidbauer M, Budka H, Shah KV. (1990a) Progressive multifocal leukoencephalopathy (PML) in AIDS and in the pre-AIDS era. A neuropathologic comparison using immunocytochemistry and in situ DNA hybridization for virus detection. Acta Neuropathol 80:375–80.

    Article  PubMed  CAS  Google Scholar 

  • Schmidbauer M, Budka H, Okeda R et al. (1990b) Multifocal vacuolar leukoencephalopathy: a distinct HIV-associated lesion of the rain. Neuropathol Appl Neurobiol 16:437–43.

    Article  PubMed  CAS  Google Scholar 

  • Schmitt FA, Bigley JW, McKinnis R et al. and the AZT Collaborative Working Group. (1988) Neuropsychological outcome of zidovudine (AZT) treatment of patients with AIDS and AIDS-related complex. N Engl J Med 319:1573–8.

    Article  PubMed  CAS  Google Scholar 

  • Seitelberger F. (1975) General neuropathology of the degenerative diseases of the central nervous system. In: Vinken PJ, Bruyn GW. Handbook of clinical neurology, vol 21. North Holland: Amsterdam, 43–71.

    Google Scholar 

  • Selmaj KW, Raine CS. (1988) Tumor necrosis factor mediates myelin and oligodendrocyte damage in vitro. Ann Neurol 23:339–46.

    Article  PubMed  CAS  Google Scholar 

  • Seines OA, Miller E, McArthur J et al. (1990) The Multicenter AIDS Cohort Study: HIV-1 infection: no evidence of cognitive decline during the asymptomatic stages. Neurology 40:204–8.

    Google Scholar 

  • Sharer LR, Cho E-S, Epstein LG. (1985) Multinucleated giant cells and HTLV-III in AIDS encephalopathy. Hum Pathol 16:760.

    Article  PubMed  CAS  Google Scholar 

  • Sharer LR, Epstein LG, Cho E-S et al. (1986) Pathologic features of AIDS encephalopathy in children: evidence for LAV/HTLV-III infection of brain. Hum Pathol 17:271–84.

    Article  PubMed  CAS  Google Scholar 

  • Shaw GM, Harper ME, Hahn BH et al. (1985) HTLV-III infection in brains of children and adults with AIDS encephalopathy. Science 227: 177–82.

    Article  PubMed  CAS  Google Scholar 

  • Sidtis JJ, Price RW. (1990) Early HIV-1 infection and the AIDS dementia complex. Neurology 40:323–6.

    PubMed  CAS  Google Scholar 

  • Smith TW, DeGirolami U, Hénin D et al. (1990) Human immunodeficiency virus (HIV) leukoencephalopathy and the microcirculation. J Neuropathol Exp Neurol 49:357–70.

    Article  PubMed  CAS  Google Scholar 

  • Snider WD, Simpson DM, Nielsen S et al. (1983) Neurological complications of acquired immune deficiency syndrome: analysis of 50 patients. Ann Neurol 14:403–18.

    Article  PubMed  CAS  Google Scholar 

  • Stevenson M, Haggerty S, Lamonica -CA et al. (1990) Integration is not necessary for expression of human immunodeficiency virus type 1 protein products. J Virol 64:2421–5.

    PubMed  CAS  Google Scholar 

  • Surtees R, Hyland K, Smith I. (1990) Central-nervous-system methyl-group metabolism in children with neurological complications of HIV infection. Lancet 335:619–21.

    Article  PubMed  CAS  Google Scholar 

  • Tersmette M, Gruters RA, de Wolf F et al. (1989) Evidence for a role of virulent human immunodeficiency virus (HIV) variants in the pathogenesis of acquired immunodeficiency syndrome: studies on sequential HIV isolates. J Virol 63: 2118–25.

    PubMed  CAS  Google Scholar 

  • Vazeux R, Brousse N, Jarry A et al. (1987) AIDS subacute encephalitis. Identification of HIV-infected cells. Am J Pathol 126:403–10.

    CAS  Google Scholar 

  • Vinters HV, Anders KH. (1990) Neuropathology of AIDS. CRC Press: Boca Raton.

    Google Scholar 

  • Ward JM, O’Leary TJ, Baskin GB et al. (1987) Immunohistochemical localization of human and simian immunodeficiency viral antigens in fixed tissue sections. Am J Pathol 127: 199–205.

    PubMed  CAS  Google Scholar 

  • Weiser B, Peress N, La Neve D et al. (1990) Human immunodeficiency virus type 1 expression in the central nervous system correlates directly with extent of disease. Proc Natl Acad Sci USA 87:3997–4001.

    Article  PubMed  CAS  Google Scholar 

  • Whitehouse P. (1986) The concept of subcortical and cortical dementia: another look. Ann Neurol 19: 1–6.

    Article  PubMed  CAS  Google Scholar 

  • Wiley CA, Schrier RD, Nelson JA et al. (1986) Cellular localization of human immunodeficiency virus infection within the brains of acquired immune deficiency syndrome patients. Proc Natl Acad Sci USA 83:7089–93.

    Article  PubMed  CAS  Google Scholar 

  • Wilkie FL, Eisdorfer C, Morgan R et al. (1990) Cognition in early human immunodeficiency virus infection. Arch Neurol 47:433–40.

    Article  PubMed  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1993 Springer-Verlag London Limited

About this chapter

Cite this chapter

Budka, H. (1993). HIV-Related Dementia: Pathology and Possible Pathogenesis. In: Scaravilli, F. (eds) The Neuropathology of HIV Infection. Springer, London. https://doi.org/10.1007/978-1-4471-1957-9_7

Download citation

  • DOI: https://doi.org/10.1007/978-1-4471-1957-9_7

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-1959-3

  • Online ISBN: 978-1-4471-1957-9

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics