A case of sudden rapid neurological deterioration in an HIV positive 27 year old female

An HIV positive 27 year old female on antiretroviral therapy (ART) presented to her HIV clinic with a two week history of progressively worsening twitching and clumsiness in her right hand. The twitching had become continuous making it difficult for her to use her hand. Her family also reported witnessing three seizures over the last two weeks with loss of consciousness on each occasion.