From the Department of Internal Medicine (M.N.K., E.K., M.K.), Makerere University, College of Health Sciences, Kampala, Uganda; Neurological and Behavioral Outcomes Center (M.S.), University Hospitals Case Medical Center, Cleveland; School of Medicine (S.P.), Cleveland VA Medical Center and Case Western Reserve University, Cleveland, OH; and Department of Neurology (L.B.G.), University of Kentucky, Lexington.