Abstract
Parkinsonism is the most common movement disorder to affect HIV-infected patients and occurs in 5% of cases. Parkinsonism often occurs in the context of prior exposure to neuroleptic drugs, focal cerebral opportunistic infections, or HIV/AIDS-associated dementia. AIDS patients have a 2.4–3.4-fold greater risk of developing extrapyramidal side effects when they are exposed to neuroleptic drugs. The basal ganglia are a vulnerable target to HIV, and parkinsonism may develop in the absence of any other identifiable underlying cause. The clinical features of HIV parkinsonism are usually different than those of idiopathic Parkinson’s disease (PD) in that they include bilateral onset, rapid progression, abnormal eye movements, and no rest tremor.
This chapter contains a video segment which can be found at the URL: https://doi.org/10.1007/978-1-60327-426-5_22
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Mirsattari SM, Power C, Nath A. Parkinsonism with HIV infection. Mov Disord. 1998; 13:684–9.
Tse W, Cersosimo MG, Gracies JM, et al. Movement disorders and AIDS: a review. Parkinsonism Relat Disord. 2004;10:323–34.
Author information
Authors and Affiliations
Electronic Supplementary material
22 HIV-induced parkinsonism.mp4 (MP4 24,924KB)
The patient displays generalized bradykinesia and facial masking with reduced blink frequency. Tongue movements are slow. Finger tapping is slow with reduced amplitude bilaterally. Gait is wide-based and arm swing is present.
Rights and permissions
Copyright information
© 2012 Springer Science+Business Media New York
About this chapter
Cite this chapter
Bhidayasiri, R., Tarsy, D. (2012). HIV-Induced Parkinsonism. In: Movement Disorders: A Video Atlas. Current Clinical Neurology. Humana, Totowa, NJ. https://doi.org/10.1007/978-1-60327-426-5_22
Download citation
DOI: https://doi.org/10.1007/978-1-60327-426-5_22
Published:
Publisher Name: Humana, Totowa, NJ
Print ISBN: 978-1-60327-425-8
Online ISBN: 978-1-60327-426-5
eBook Packages: MedicineMedicine (R0)