Multiple Cerebrovascular Accidents Associated with Intracranial HIV Vasculopathy: A Case Report

Daniela M. Tello¹, Pramod Theetha Kariyanna¹, Apoorva Jayarangaiah¹ and Samy I. McFarlane^1,

¹Department of Internal Medicine, State University of New York: Downstate Medical Center, Brooklyn, New York, United States- 11203

Cite this paper

Daniela M. Tello, Pramod Theetha Kariyanna, Apoorva Jayarangaiah and Samy I. McFarlane. Multiple Cerebrovascular Accidents Associated with Intracranial HIV Vasculopathy: A Case Report. American Journal of Medical Case Reports. 2019; 7(7):145-147. doi: 10.12691/AJMCR-7-7-7

Abstract

HIV disease continues to be a major public health concern with 36.9 million people reported living with HIV in 2017 [1]. Cardiovascular disease (CVD) is one of serious complications of HIV disease. While control of HIV disease with antiretroviral therapy (ART) has been shown to unequivocally reduce all-cause mortality, ART in itself can paradoxically increase CVD risk in the HIV population. In this report we present a case of 32 year old African American woman with long standing uncontrolled HIV disease resulting in multiple cerebral aneurysms with aneurysmal rupture leading to recurrent strokes. We discuss the disease course and highlight the current literature of HIV vasculopathy, a serious complication of HIV disease associated with increased morbidity and mortality in this vulnerable populations.

Keywords

human immune deficiency virus, vasculopathy, cerebral aneurysm, stroke, anti-retroviral therapy

Copyright

This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

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