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Case Reports
. 2007 May;28(5):938-9.

Cerebral aneurysmal arteriopathy in an adult patient with acquired immunodeficiency syndrome

P O'Charoen  1 , J R Hesselink, J F Healy
Affiliations
Case Reports

Cerebral aneurysmal arteriopathy in an adult patient with acquired immunodeficiency syndrome

P O'Charoen et al. AJNR Am J Neuroradiol. 2007 May.

Abstract

In adult patients with acquired immunodeficiency syndrome (AIDS), cerebral arteritis usually takes the form of arterial wall thickening, stenosis, and occlusion, leading to cerebral ischemia and infarction. Aneurysms and intracranial hemorrhage are much less commonly associated with cerebral vasculitis. For reasons not entirely clear, this form is seen more often in pediatric patients infected with human immunodeficiency virus. We report an adult patient with cerebral aneurysmal arteriopathy who presented shortly after his AIDS-defining illness in a setting of severe immune suppression and high viral load.

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Figures

Fig 1.
Fig 1.
A, Axial T1-weighted image with gadolinium reveals bright enhancement of thickened walls of the anterior cerebral arteries (arrow). B, Oblique projection of an MRA demonstrates fusiform aneurysmal dilatation of the A2 segments (arrows) of both anterior cerebral arteries. Alternating areas of dilation and narrowing are also seen in the middle cerebral and basilar arteries.
See this image and copyright information in PMC

References

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