A wide variety of neurological problems may occur in TB/HIV patients. The common presentations are the following:
1) acute confusion,
2) chronic behaviour change,
3) persistent headache,
4) difficulty in walking,
5) poor vision,
6) burning sensation in the feet.
Neurological problems are often thought to be difficult to diagnose. In fact, they are no more difficult to diagnose than other problems, provided that you take time and care. You have to take time and care to obtain a detailed history and perform a proper neurological examination. It is usually necessary to obtain some, if not all, of the history from the patient's relatives or friends. Some simple district-level laboratory tests on blood and cerebrospinal fluid (CSF) are often helpful.
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