Abstract
This brief case report describes an unusual presumed association of chronic HIV infection with multiple cerebral arteriovenous malformations. An adult male patient presented with recurrent spontaneous brain intracranial hemorrhages and neurologic deficits requiring surgical evacuation. The diagnosis was delayed because of lack of a high index of suspicion of this unexpected and previously unrecognized association.
Highlights
HIV-infected patients are at a higher risk for stroke, both ischemic and hemorrhagic
We report the clinical and imaging findings in an adult with HIV and multiple arteriovenous shunts affecting both cerebral hemispheres with 3 documented episodes of brain hemorrhage
Multiplicity, which is more frequently seen in association with syndromes, such as hereditary hemorrhagic telangiectasia and WyburnMason syndrome, is rarely encountered in sporadic cases.[1,2,3]
Summary
HIV-infected patients are at a higher risk for stroke, both ischemic and hemorrhagic. Symptomatic multiple cerebral arteriovenous malformations are not a reported presentation of HIV. We report the clinical and imaging findings in an adult with HIV and multiple arteriovenous shunts affecting both cerebral hemispheres with 3 documented episodes of brain hemorrhage.
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