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Spontaneous intraspinal and intracranial subdural hematoma in a highly active antiretroviral therapy-naïve-patient with HIV

  • Hyun Jung Lee (Department of Physical Medicine and Rehabilitation, Jeju National University College of Medicine) ;
  • Jeong Rae Yoo (Department of Internal Medicine, Jeju National University Hospital)
  • Received : 2024.05.23
  • Accepted : 2024.07.04
  • Published : 2024.09.30

Abstract

Spontaneous intraspinal and intracranial subdural hematomas (SDHs) are rare, potentially life-threatening complications. We present the case of a 38-yearold highly active antiretroviral therapy-naïve human immunodeficiency virus (HIV)-positive patient who developed simultaneous intraspinal and intracranial SDHs without hemostatic abnormalities. The patient presented with acute lower limb weakness and back pain, and later developed neurological symptoms, including diplopia and incontinence. This case highlights the importance of considering SDHs in HIV-positive patients presenting with neurological symptoms, and underscores the need for prompt diagnosis and multidisciplinary management.

Keywords

Acknowledgement

This work was supported by the 2024 education, research and student guidance grant funded by Jeju National University.

References

  1. Reidy J, Mobbs R. Spinal subdural hematoma: rare complication of spinal decompression surgery. World Neurosurg 2022;158:114-7.
  2. Elkhider H, Malatesta L, Ong S, Smith M, Kothari A. Bilateral spontaneous subdural hematomas in an HIV patient with a normal platelet count. Neurology 2018;90(Suppl 15):P5.118.
  3. Hogan C, Wilkins E. Neurological complications in HIV. Clin Med (Lond) 2011;11:571-5.
  4. Marchionatti A, Parisi MM. Anemia and thrombocytopenia in people living with HIV/AIDS: a narrative literature review. Int Health 2021;13:98-109.
  5. Kutty RK, Peethambaran AK, Sunilkumar, Anilkumar M. Conser-vative treatment of chronic subdural hematoma in HIV-associated thrombocytopenia with tranexamic acid. J Int Assoc Provid AIDS Care 2017;16:211-4.
  6. Nkoke C, Luchuo EB, Teuwafeu D, Nepetsoun I, Nkouonlack C. Chronic subdural hematoma associated with thrombocytopenia in a patient with human immunodeficiency virus infection in cameroon. Case Rep Neurol Med 2017;2017:5395829.
  7. Kim DG, Cho YS, Wang HS, Kim SW. Spontaneous intracranial and spinal subdural hematoma: a case report. Korean J Neurotrauma 2019;15:182-6.
  8. Kanamaru H, Kanamaru K, Araki T, Hamada K. Simultaneous spinal and intracranial chronic subdural hematoma cured by craniotomy and laminectomy: a video case report. Case Rep Neurol 2016;8:72-7.
  9. Paes Lda S, Borges JP, Dos Santos FM, de Oliveira TP, Dupin JG, Harris EA, et al. Effects of a 2-year supervised exercise program upon the body composition and muscular performance of HIV-infected patients. Open AIDS J 2015;9:80-8.
  10. Puccio DJ, Deng H, Eagle SR, Okonkwo DO, Nwachuku EL. Pilot biomarker analysis and decision tree algorithm modeling of patients with chronic subdural hematomas. Neurotrauma Rep 2023;4:184-96.