Since the onset of the AIDS pandemic in 1981, acute and chronic inflam
matory infectious diseases of the central nervous system have become a
n increasing problem for the clinical neurologist. Directly HIV-1-asso
ciated diseases (such as acute meningoencephalitis during seroconversi
on, chronic HIV encephalitis and immune vasculitis) as well as so-call
ed ''opportunistic infections'' with parasites (such as toxoplasma gon
dii), fungi (cryptococcus neoformans, candida albicans), typical and a
typical mycobacteria and viruses (herpes family and cytomegaly virus)
demand specific and sometimes invasive (e.g. stereotactic brain biopsy
) diagnostic and therapeutic procedures. The increasing number of iatr
ogenic immunosuppressed, but also of immunocompetent patients infected
with ''classic'' HIV-1-associated '' opportunistic'' disease requires
extension of the clinician's diagnostic knowledge.