She was tested positive for HIV

A 42-year-old female presented with progressive memory loss over the past 1-month. She had one episode of generalized tonic clonic seizure 2-months back, but did not take any treatment. She had significant involuntary weight loss. On examination she was emaciated and had a BMI of 16.4. Neurological examination showed cognitive decline in the form of loss of recent memory, judgment and abstract thinking, with preserved language and visuospatial orientation. There were no focal neurological deficits. She was tested positive for HIV. Her CD4+ count was 21/µL. What is your diagnosis?

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  1. HIV encephalopathy
  2. HIV dementia
  3. Hydrocephalus
  4. Ischemic ventriculopathy