Stroke caused by human immunodeficiency virus-associated intracranial large-vessel aneurysmal vasculopathy.
BACKGROUND
Intracranial aneurysms related to human immunodeficiency virus (HIV) infection have been well described in pediatric patients but not in adults.


OBJECTIVE
To describe a case of intracranial large-vessel aneurysmal vasculopathy causing stroke in a 27-year-old HIV-infected woman.


METHODS
Comparison of clinical and histological data with previously published cases.


METHODS
A referral hospital stroke unit. Patient A 27-year-old HIV-infected woman presenting with stroke; neuroimaging demonstrated fusiform aneurysmal dilation of the left internal carotid and the left middle cerebral artery and its branches.


RESULTS
Autopsy showed degeneration of the elastic lamina, myxoid degeneration, and medial atrophy, causing consequent ectasia of the involved intracranial vessels.


CONCLUSIONS
Aneurysmal dilation of the intracranial arteries occurs in HIV-infected adults, but the pathogenic role of HIV remains unknown.
Tipping
Brent
B
Stroke Unit, Division of Geriatrics, Department of Medicine, Groote Schuur Hospital, University of Cape Town, Observatory, Cape Town, South Africa. btipping@mweb.co.za
de Villiers
Linda
L
Candy
Sally
S
Wainwright
Helen
H
D000328:Adult; D002339:Carotid Arteries / Q000473:pathology; D005260:Female; D015658:HIV Infections / Q000150:complications* / Q000473:pathology; D006801:Humans; D007091:Image Processing, Computer-Assisted / Q000379:methods; D002532:Intracranial Aneurysm / Q000209:etiology* / Q000473:pathology / Q000821:virology*; D008279:Magnetic Resonance Imaging / Q000379:methods; D020521:Stroke / Q000150:complications / Q000209:etiology / Q000821:virology