AIDS dementia complex (ADC) is a constellation of cognitive, motor, an
d behavioral dysfunctions frequently observed in persons with AIDS. Es
timates of its prevalence vary. ADC may occur at any stage of AIDS but
is usually associated with later stages of disease. Its severity vari
es among patients and often, but not always, is progressive. Various p
athogenic mechanisms have been proposed for ADC, including effects of
human immunodeficiency virus (HIV)-mediated cytokine production and di
rect neural cell damage by HIV. Antiretroviral therapy can delay or mi
tigate the symptoms of ADC.