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We present a rare case of a patient who presented with HIV-vacuolar myelopathy as the initial presentation in a case of newly diagnosed HIV. The case emphasizes the importance of a high index of suspicion and diagnosis for better outcomes in HIV-vacuolar myelopathy.<\/jats:p>","DOI":"10.1177\/0956462420933786","type":"journal-article","created":{"date-parts":[[2020,12,16]],"date-time":"2020-12-16T02:33:08Z","timestamp":1608085988000},"page":"205-208","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["HIV-vacuolar myelopathy: an unusual early presentation in HIV"],"prefix":"10.1177","volume":"32","author":[{"given":"Jacob","family":"Leffert","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rangarajan","family":"Purushothaman","sequence":"additional","affiliation":[{"name":"Department of Radiology, University of Arkansas for Medical Sciences, Little Rock, AR, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0845-670X","authenticated-orcid":false,"given":"George Koshy","family":"Vilanilam","sequence":"additional","affiliation":[{"name":"Department of Radiology, University of Arkansas for Medical Sciences, Little Rock, AR, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"Stanley","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atul","family":"Kothari","sequence":"additional","affiliation":[{"name":"Department of Infectious Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,12,15]]},"reference":[{"key":"bibr1-0956462420933786","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijid.2007.09.014"},{"key":"bibr2-0956462420933786","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.44.11.2159"},{"key":"bibr3-0956462420933786","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.54.1.267"},{"key":"bibr4-0956462420933786","doi-asserted-by":"publisher","DOI":"10.1186\/1752-1947-7-223"},{"key":"bibr5-0956462420933786","doi-asserted-by":"publisher","DOI":"10.1212\/01.WNL.0000140469.18782.05"},{"key":"bibr6-0956462420933786","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198504043121402"},{"key":"bibr7-0956462420933786","doi-asserted-by":"publisher","DOI":"10.1007\/s002340050523"},{"key":"bibr8-0956462420933786","first-page":"1412","volume":"20","author":"Chong J","year":"1999","journal-title":"Am J Neuroradiol"},{"key":"bibr9-0956462420933786","doi-asserted-by":"publisher","DOI":"10.1038\/scsandc.2016.20"}],"container-title":["International Journal of STD &amp; AIDS"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0956462420933786","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0956462420933786","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0956462420933786","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T22:40:51Z","timestamp":1777675251000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0956462420933786"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12,15]]},"references-count":9,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2021,2]]}},"alternative-id":["10.1177\/0956462420933786"],"URL":"https:\/\/doi.org\/10.1177\/0956462420933786","relation":{},"ISSN":["0956-4624","1758-1052"],"issn-type":[{"value":"0956-4624","type":"print"},{"value":"1758-1052","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,12,15]]}}}