Human Immunodeficiency Virus Infection and Diffuse Polyneuropathy. Implications for Rehabilitation Medicine

Overview

Journal West J Med

Specialty General Medicine

Date 1991 May 1

PMID 1866948

Authors

J A Mukand

Affiliations

Soon will be listed here.

Abstract

Patients at various stages of human immunodeficiency virus (HIV) infection require rehabilitation services. These patients present problems for each of the disciplines in a rehabilitation team, and all team members must confront the psychosocial and ethical issues involved with the disease. Patients with HIV infection may have polyneuropathy with multisystem involvement, including dysphagia, autonomic dysfunction, respiratory failure, bowel and bladder dysfunction, generalized weakness, a painful sensory neuropathy, and depression. Guidelines are presented for determining if inpatient rehabilitation or other settings are appropriate. Case management is a valuable strategy for the rehabilitation of patients with this complicated disorder.

References

Vendrell J, Heredia C, Pujol M, Vidal J, Blesa R, Graus F . Guillain-Barré syndrome associated with seroconversion for anti-HTLV-III. Neurology. 1987; 37(3):544. DOI: 10.1212/wnl.37.3.544-a. View

Bacchetti P, Moss A . Incubation period of AIDS in San Francisco. Nature. 1989; 338(6212):251-3. DOI: 10.1038/338251a0. View

Levy R, Bredesen D, Rosenblum M . Neurological manifestations of the acquired immunodeficiency syndrome (AIDS): experience at UCSF and review of the literature. J Neurosurg. 1985; 62(4):475-95. DOI: 10.3171/jns.1985.62.4.0475. View

Marcusen D, Sooy C . Otolaryngologic and head and neck manifestations of acquired immunodeficiency syndrome (AIDS). Laryngoscope. 1985; 95(4):401-5. DOI: 10.1288/00005537-198504000-00006. View

Meythaler J, CROSS L . Traumatic spinal cord injury complicated by AIDS related complex. Arch Phys Med Rehabil. 1988; 69(3 Pt 1):219-22. View

King A, Taylor C, Haskell W, DeBusk R . Strategies for increasing early adherence to and long-term maintenance of home-based exercise training in healthy middle-aged men and women. Am J Cardiol. 1988; 61(8):628-32. DOI: 10.1016/0002-9149(88)90778-3. View

Scheinberg L, Smith C . Rehabilitation of patients with multiple sclerosis. Neurol Clin. 1987; 5(4):585-600. View

Make B . Pulmonary rehabilitation: myth or reality?. Clin Chest Med. 1986; 7(4):519-40. View

Dalakas M, Pezeshkpour G, Gravell M, Sever J . Polymyositis associated with AIDS retrovirus. JAMA. 1986; 256(17):2381-3. View

10.

Navia B, Price R . The acquired immunodeficiency syndrome dementia complex as the presenting or sole manifestation of human immunodeficiency virus infection. Arch Neurol. 1987; 44(1):65-9. DOI: 10.1001/archneur.1987.00520130051017. View

11.

Navia B, Jordan B, Price R . The AIDS dementia complex: I. Clinical features. Ann Neurol. 1986; 19(6):517-24. DOI: 10.1002/ana.410190602. View

12.

Abrams D, Dilley J, Maxey L, Volberding P . Routine care and psychosocial support of the patient with the acquired immunodeficiency syndrome. Med Clin North Am. 1986; 70(3):707-20. DOI: 10.1016/s0025-7125(16)30948-8. View

13.

Petito C, Navia B, Cho E, Jordan B, George D, Price R . Vacuolar myelopathy pathologically resembling subacute combined degeneration in patients with the acquired immunodeficiency syndrome. N Engl J Med. 1985; 312(14):874-9. DOI: 10.1056/NEJM198504043121402. View

14.

Dilley J, Ochitill H, Perl M, Volberding P . Findings in psychiatric consultations with patients with acquired immune deficiency syndrome. Am J Psychiatry. 1985; 142(1):82-6. DOI: 10.1176/ajp.142.1.82. View

15.

Snider W, Simpson D, Nielsen S, Gold J, Metroka C, Posner J . Neurological complications of acquired immune deficiency syndrome: analysis of 50 patients. Ann Neurol. 1983; 14(4):403-18. DOI: 10.1002/ana.410140404. View

16.

Perry S, Jacobsen P . Neuropsychiatric manifestations of AIDS-spectrum disorders. Hosp Community Psychiatry. 1986; 37(2):135-42. DOI: 10.1176/ps.37.2.135. View

17.

McArthur J, McArthur J . Neurological manifestations of acquired immunodeficiency syndrome. J Neurosci Nurs. 1986; 18(5):242-9. DOI: 10.1097/01376517-198610000-00002. View

18.

Goudsmit J, Wolters E, Bakker M, Smit L, van der Noordaa J, Hische E . Intrathecal synthesis of antibodies to HTLV-III in patients without AIDS or AIDS related complex. Br Med J (Clin Res Ed). 1986; 292(6530):1231-4. PMC: 1340242. DOI: 10.1136/bmj.292.6530.1231. View

19.

RESNICK L, Schupbach J, Tourtellotte W, Ho D, Muller F, Shapshak P . Intra-blood-brain-barrier synthesis of HTLV-III-specific IgG in patients with neurologic symptoms associated with AIDS or AIDS-related complex. N Engl J Med. 1985; 313(24):1498-504. DOI: 10.1056/NEJM198512123132402. View

20.

Ho D, ROTA T, Schooley R, Kaplan J, Allan J, Groopman J . Isolation of HTLV-III from cerebrospinal fluid and neural tissues of patients with neurologic syndromes related to the acquired immunodeficiency syndrome. N Engl J Med. 1985; 313(24):1493-7. DOI: 10.1056/NEJM198512123132401. View