Case Report: Spontaneous Carotid Artery Dissection in an HIV Infected Patient

Carolina Rouanet*, Gustavo Honorio, João Roberto Domingues, Lilian Petroni and Renata Simm

Received: December 14, 2018;   Published: December 20, 2018

DOI: 10.26717/BJSTR.2018.12.002509

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Abstract

A 39 year-old black man presented to the emergency department reporting a self-limited episode of left hemiparesis [1]. During medical evaluation, a new episode lasting ten minutes with full spontaneous recovery happened. He denied neck pain or recent trauma. In the past medical history, he was HIV positive in regular treatment with Tenofovir, Lamivudine and Efavirenz. His last viral load was undetectable and his CD4 lymphocyte percentage count was 887 [2]. He was started on aspirine and admitted for investigation. His brain computed tomography (CT) scan was normal. On neck and brain CT angiography, there was progressive narrowing in right cervical internal carotid artery (ICA) with complete occlusion in its supraclinoid portion [3].

Abbreviations : CT: Computed Tomography; ICA: Internal Carotid Artery; MRI: Magnetic Resonance Imaging; VZV: Varicella Zoster Virus; HSV: Herpex Simple Virus; CSF: Cerebro Spinal Fluid