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KMID : 0359720180360040337
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Journal of the Korean Neurological Association
2018 Volume.36 No. 4 p.337 ~ p.340
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Recurrent Ischemic Strokes with Progression of Middle Cerebral Artery Stenosis during HIV Treatment
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Kang Jong-Soo
Kim Min-Ok
Yi Jeong-Jin
Park Min-Won
Kim Chang-Hun
Kim Young-Soo
Park Kee-Hong
Kang Hee-Young
Choi Nack-Cheon
Kwon Oh-Young
Kim Soo-Kyung
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Abstract
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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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KEYWORD
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HIV, Antiretroviral therapy, highly active, Cerebrovascular disorders
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