J Korean Neurol Assoc.
2018 Nov;36(4):337-340. 10.17340/jkna.2018.4.13.
Recurrent Ischemic Strokes with Progression of Middle Cerebral Artery Stenosis during HIV Treatment
- Affiliations
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- 1Gyeongsang Institute of Health Sciences, Department of Neurology, Gyeongsang National University College of Medicine, Jinju, Korea. skkim.stroke@gmail.com
- KMID: 2435847
- DOI: http://doi.org/10.17340/jkna.2018.4.13
Abstract
- Human immunodeficiency virus (HIV) infection can result in ischemic stroke via several mechanisms, including opportunistic infection, vasculopathy, cardioembolism, and coagulopathy. HIV-vasculopathy is related to endothelial dysfunction, stenosis and aneurysm formation, infectious vasculitis, dissection and accelerated atherosclerosis during highly active antiretroviral therapy (HAART). We represent a case of HIV infection manifested as an acute ischemic stroke attack. After 4 months during HAART, our patient experienced a recurrent ischemic stroke with progression of middle cerebral artery stenosis.
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