Human Immunodeficiency Virus-Associated Multiple Cerebral Aneurysmal Vasculopathy in a Young Adult: A Case Report

Kim, Dasom; Baek, Jin Wook; Heo, Young Jin; Jeong, Hae Woong

doi:10.3348/jksr.2019.80.1.157

Cited by 1 publication

(1 citation statement)

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“…The present clinical case exhibits notable divergences from the recorded instances of multiple cerebral aneurysms consequent to HIV-associated vasculopathy. As a preliminary point of distinction, in the cases chronicled by Tello et al 10 and Kim et al 11 the afflicted individuals manifested symptomatic indications correlating with cerebral aneurysms, encompassing manifestations such as headache and cerebrovascular accident. Contrarily, our patient's multiple cerebral aneurysms were serendipitously discovered, presenting as incidental findings.…”

Section: Discussionmentioning

confidence: 98%

Multiple fusiform and saccular aneurysms in a person living with Human Immunodeficiency Virus

Unice,

Naidoo,

Hiralal

et al. 2023

SAGE Open Medical Case Reports

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Cerebral aneurysms secondary to human immunodeficiency virus vasculopathy are a diagnosis by exclusion and its mechanism is unknown. We report on a 21-year-old male with human immunodeficiency virus infection and suboptimal virological control, despite highly active antiretroviral therapy. An incidental discovery of multiple cerebral aneurysms occurred in this patient, who initially presented with signs of disorientation, acute psychosis, and a history of blunt cranial trauma. A non-contrasted computerized tomography scan of the encephalon showed no intracranial hemorrhage but multiple cerebral (saccular and fusiform) aneurysms. Subsequently, a non-urgent computerized tomography angiogram of the cerebral vasculature corroborated the existence of multiple cerebral aneurysms. Despite investigation, no secondary etiological factors for the aneurysmal condition were identified. The multitude of cerebral aneurysms was consequently ascribed to human immunodeficiency virus-associated vasculopathy. The patient was managed conservatively. At discharge, he was lucid and apsychotic. A unique aspect of the case is the presence of both fusiform and saccular cerebral aneurysms.

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Section: Discussionmentioning

confidence: 98%