Cerebral aneurysms in a child with acquired immune deficiency syndrome during rapid immune reconstitution.

Abstract:

:A 12-year-old boy with perinatally acquired human immunodeficiency virus infection an d Centers for Disease Control and Prevention class C3 disease presented with acute onset of confusion and a right-sided movement disorder 5 months after beginning a new antiretroviral regimen. His CD4 count had been below 50 cells/microL for 4 years but had abruptly risen to more than 250 cells/microL. Computed tomographic and magnetic resonance imaging scans showed cerebral aneurysms and new cerebral lesions consistent with ischemic strokes. The presentation during immune reconstitution suggests that cerebral aneurysms in pediatric patients with acquired immune deficiency syndrome can result from an immune-mediated response to chronic vascular infection.

journal_name

J Child Neurol

authors

Bonkowsky JL,Christenson JC,Nixon GW,Pavia AT

doi

10.1177/088307380201700613

subject

Has Abstract

pub_date

2002-06-01 00:00:00

pages

457-60

issue

6

eissn

0883-0738

issn

1708-8283

journal_volume

17

pub_type

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