J Med Life Sci.
2024 Sep;21(3):106-111. 10.22730/jmls.2024.21.3.106.
Spontaneous intraspinal and intracranial subdural hematoma in a highly active antiretroviral therapy-naïve-patient with HIV
- Affiliations
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- 1Department of Physical Medicine and Rehabilitation, Jeju National University College of Medicine, Jeju, Republic of Korea
- 2Department of Physical Medicine and Rehabilitation, Jeju National University Hospital, Jeju, Republic of Korea
- 3Department of Internal Medicine, Jeju National University Hospital, Jeju, Republic of Korea
- 4Department of Internal Medicine, Jeju National University College of Medicine, Jeju, Republic of Korea
- KMID: 2561963
- DOI: http://doi.org/10.22730/jmls.2024.21.3.106
Abstract
- Spontaneous intraspinal and intracranial subdural hematomas (SDHs) are rare, potentially life-threatening complications. We present the case of a 38-yearold highly active antiretroviral therapy-naïve human immunodeficiency virus (HIV)- positive patient who developed simultaneous intraspinal and intracranial SDHs without hemostatic abnormalities. The patient presented with acute lower limb weakness and back pain, and later developed neurological symptoms, including diplopia and incontinence. This case highlights the importance of considering SDHs in HIV-positive patients presenting with neurological symptoms, and underscores the need for prompt diagnosis and multidisciplinary management.
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