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Neuropathy in Head
Mar 5, 2008

What can you tell me about neuropathy which may be causing dizziness and headaches? Don't really have symptoms in hands and feet, but am a long timer and doc mentioned that this may be what I am now dealing with. Thankyou

Response from Dr. Henry

Standard HIV or drug related neuropathy generally involves the longest nerves first. When there are central nervous system symptoms as you describe the may be concerns about HIV encephalitis/encephalopathy as well as a wide range of non-HIV conditions. Middle ear or cranial nerve adnormalities can cause dizziness related to HIV/rarely HIV medications but most often due to non-HIV causes. Most HIV meds don't directly cause the symptoms you describe. Some HIV meds don't penetrate well into the central nervous system so there is concern about the brain region being a site where HIV replication can occur and perhaps cause damage independently from what can be observed from just following blood test results. In most cases, however, good HIV control in the blood seems to correlate with improved outcomes from the brain standpoint. KH


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