Spontaneous artery dissection in a patient with Human Immunodeficiency Virus (HIV) infection

• Autor(a) principal: Felício, André Carvalho [UNIFESP]
• Data de Publicação: 2006
• Outros Autores: Silva, Gisele Sampaio [UNIFESP], Santos, William Adolfo Celso Dos [UNIFESP], Pieri, Alexandre [UNIFESP], Gabbai, Alberto Alain [UNIFESP], Massaro, Ayrton Roberto [UNIFESP]
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Institucional da UNIFESP
• Texto Completo: http://dx.doi.org/10.1590/S0004-282X2006000200025; http://repositorio.unifesp.br/handle/11600/3075
• topic: HIV; stroke; vertebral artery dissection; HIV; AVC; dissecção artéria vertebral

BACKGROUND: The relationship between human immunodeficiency virus infection and stroke may be attributed in some cases to an underlying vasculopathy such as in spontaneous cervical arteries dissections. CASE REPORT: We report the case of an HIV-infected patient who developed a Wallemberg's syndrome due to a vertebral artery dissection. Screening laboratory exams showed hyperhomocysteinemia and also high C-reactive protein plasma levels. CONCLUSIONS: This is the first case describing the association between arterial dissection (AD) and HIV-infection. We suggest that AD should also be remembered as a possible mechanism of ischemic stroke in HIV-infected patients.