NEJM – Case 27-2020: A 53-Year-Old Woman with Headache and Gait Imbalance
Case 27-2020: A 53-Year-Old Woman with Headache and Gait Imbalance
List of authors.
- Geoffrey S. Gottlieb, M.D., Ph.D.,
- Jacob M. Rosenberg, M.D., Ph.D.,
- R. Gilberto Gonzalez, M.D., Ph.D.,
- and Rajesh T. Gandhi, M.D.
A 53-year-old woman presented with progressive headache and gait instability. MRI showed an enhancing intraaxial lesion (2.0 cm by 1.8 cm by 1.7 cm) in the right cerebellar hemisphere. An HIV screening assay was reactive, but plasma HIV-1 RNA was not detected; the CD4+ T-cell count was 39 per microliter. Diagnostic tests were performed.