PT - JOURNAL ARTICLE AU - Pavlakis, S G AU - Lu, D AU - Frank, Y AU - Wiznia, A AU - Eidelberg, D AU - Barnett, T AU - Hyman, R A TI - Brain lactate and N-acetylaspartate in pediatric AIDS encephalopathy. DP - 1998 Feb 01 TA - American Journal of Neuroradiology PG - 383--385 VI - 19 IP - 2 4099 - http://www.ajnr.org/content/19/2/383.short 4100 - http://www.ajnr.org/content/19/2/383.full SO - Am. J. Neuroradiol.1998 Feb 01; 19 AB - Two children with acquired immunodeficiency syndrome (AIDS) and progressive encephalopathy underwent MR spectroscopy before and after antiretroviral therapy. Initial MR spectroscopy of the basal ganglia region showed decreased N-acetylaspartate (NAA)/creatine (Cr) and a lactate peak. After therapy, there was improvement in NAA/Cr and an absence of the abnormal lactate peak. We suggest that decreased NAA/Cr in AIDS is reversible, that brain lactate might correlate with inflammation, and that MR spectroscopy can be useful in treatment trials.