사람면역결핍바이러스감염증 치료 중 발생한 중대뇌동맥협착의 악화 및 재발성 뇌경색
Recurrent Ischemic Strokes with Progression of Middle Cerebral Artery Stenosis during HIV Treatment
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
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.
Abstract
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.
참고문헌 (10)
- JuneMyungKim, "Epidemiology and Clinical Features of HIV Infection", AIDS in Korea, 2003, pp.44(3), 363~370[DOI]
- Benjamin LA, "HIV infection and stroke : current perspectives and future directions", Lancet Neurol, 11, pp.878~890 (2012)
- Sen S, "Recent developments regarding human immunodeficiency virus infection and stroke", Cerebrovasc Dis, 33, pp.209~218 (2012)
- Connor MD, "Cerebral infarction in adult AIDS patients : observations from the Edinburgh HIV autopsy cohort", Stroke, 31, pp.2117~2126 (2000)
- Edwards NJ, "Frequency and risk factors for cerebral arterial disease in a HIV", AIDS neuroimaging cohort, 2016, pp.41, 170~176
- Blum A, "Viral load of the human immunodeficiency virus could be an independent risk factor for endothelial dysfunction", Clin Cardiol, 28, pp.149~153 (2005)
- Mochan A, "Stroke in black South African HIV-positive patients : a prospective analysis", Stroke, 34, pp.10~15 (2003)
- 대한에이즈학회, "The 2015 Clinical Guidelines for the Diagnosis and Treatment of HIV", AIDS in HIV-Infected Koreans, 2015, pp.47(3), 205~211[DOI]
- Mehta N, "Atherosclerotic cardiovascular disease risk in the HAART treated HIV1 population", HIV Clin Trials, 6, pp.5~24 (2005)
- Lefeuvre D, "Intracranial arterial dissection related to HIV infection. A case report with histology", Interv Neuroradiol, 11, pp.387~391 (2005)