Painful radiculopathy can occur secondary to nerve damage from HIV itself or coinfection with CMV or, less commonly, HZV, tuberculosis, or syphilis. Coinfection with CMV will usually require profound immunosup-pression with a CD4 count of 50 x 106/L or less. This typically presents with cauda equina radicular pain, numbness, rapidly progressive flaccid paraparesis, and sphincter disturbance. If the adjacent spinal cord is involved, there can be a concurrent myelopathy and evidence of a "sensory level'' on examination.

Naturally Cure Your Headaches

Naturally Cure Your Headaches

Are Headaches Taking Your Life Hostage and Preventing You From Living to Your Fullest Potential? Are you tired of being given the run around by doctors who tell you that your headaches or migraines are psychological or that they have no cause that can be treated? Are you sick of calling in sick because you woke up with a headache so bad that you can barely think or see straight?

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