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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 (Gyeongsang Institute of Health Sciences, Department of Neurology, Gyeongsang National University College of Medicine) ;
  • Kim, Min Ok (Gyeongsang Institute of Health Sciences, Department of Neurology, Gyeongsang National University College of Medicine) ;
  • Yi, Jeong Jin (Gyeongsang Institute of Health Sciences, Department of Neurology, Gyeongsang National University College of Medicine) ;
  • Park, Min Won (Gyeongsang Institute of Health Sciences, Department of Neurology, Gyeongsang National University College of Medicine) ;
  • Kim, Chang Hun (Gyeongsang Institute of Health Sciences, Department of Neurology, Gyeongsang National University College of Medicine) ;
  • Kim, Young-Soo (Gyeongsang Institute of Health Sciences, Department of Neurology, Gyeongsang National University College of Medicine) ;
  • Park, Kee Hong (Gyeongsang Institute of Health Sciences, Department of Neurology, Gyeongsang National University College of Medicine) ;
  • Kang, Hee-Young (Gyeongsang Institute of Health Sciences, Department of Neurology, Gyeongsang National University College of Medicine) ;
  • Choi, Nack-Cheon (Gyeongsang Institute of Health Sciences, Department of Neurology, Gyeongsang National University College of Medicine) ;
  • Kwon, Oh-Young (Gyeongsang Institute of Health Sciences, Department of Neurology, Gyeongsang National University College of Medicine) ;
  • Kim, Soo-Kyoung (Gyeongsang Institute of Health Sciences, Department of Neurology, Gyeongsang National University College of Medicine)
  • 강종수 (경상대학교 의과대학 신경과학교실 건강과학연구원) ;
  • 김민옥 (경상대학교 의과대학 신경과학교실 건강과학연구원) ;
  • 이정진 (경상대학교 의과대학 신경과학교실 건강과학연구원) ;
  • 박민원 (경상대학교 의과대학 신경과학교실 건강과학연구원) ;
  • 김창헌 (경상대학교 의과대학 신경과학교실 건강과학연구원) ;
  • 김영수 (경상대학교 의과대학 신경과학교실 건강과학연구원) ;
  • 박기홍 (경상대학교 의과대학 신경과학교실 건강과학연구원) ;
  • 강희영 (경상대학교 의과대학 신경과학교실 건강과학연구원) ;
  • 최낙천 (경상대학교 의과대학 신경과학교실 건강과학연구원) ;
  • 권오영 (경상대학교 의과대학 신경과학교실 건강과학연구원) ;
  • 김수경 (경상대학교 의과대학 신경과학교실 건강과학연구원)
  • Received : 2018.06.14
  • Accepted : 2018.07.23
  • Published : 2018.11.30

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.

Keywords

References

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