Question

The patient is HIV+ve he has lost controll of his body functions from waist down, he was advise MRI Scan of Dorso-lumbar Spine. The report shows that There is Degeneration of L3-4 and L5-S1 disc mildly indenting the thecal sac and exiting right nerve root.is it because of this he has lost bladder control. is there any treatment for this situation.

Answer

HIV infection can result in a range of peripheral nerve/spinal cord problems that can sometimes improve with effective therapy. Nerve impingement due to a bulging disc can cause weakness and bladder problems. Consultation with a neurologist/neurosurgeon to discuss the possibility of surgical intervention is recommended. KH