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Recurrent Ischemic Strokes with Progression of Middle Cerebral Artery Stenosis during HIV Treatment (사람면역결핍바이러스감염증 치료 중 발생한 중대뇌동맥협착의 악화 및 재발성 뇌경색)

  • Kang, Jongsoo;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-Kyoung
    • Journal of the Korean neurological association
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    • v.36 no.4
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    • pp.337-340
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    • 2018
  • 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.