Superior Sagittal Sinus Thrombosis in a Young, Immunocompetent HIV Patient: A Rare Case.

headache hiv intracranial thrombosis stroke venous thrombosis

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
Oct 2021
Historique:
accepted: 09 10 2021
entrez: 17 11 2021
pubmed: 18 11 2021
medline: 18 11 2021
Statut: epublish

Résumé

Cerebral venous thrombosis is a rare form of stroke that can present with various clinical features. In addition, it can present with nonspecific neurological features, and initial computed tomography (CT) cannot rule it out even if negative. Human immunodeficiency virus (HIV) infection is a hypercoagulable state; however, it is not much discussed. Here, we present a case of a 24-year-old immunocompetent female who presented with acute meningeal symptoms. She was managed as a case of an opportunistic central nervous system infection at initial presentation, which did not resolve her symptoms completely. Later, however, cerebral thrombosis was diagnosed, and she improved symptomatically on anticoagulants.

Identifiants

pubmed: 34786227
doi: 10.7759/cureus.18625
pmc: PMC8580108
doi:

Types de publication

Case Reports

Langues

eng

Pagination

e18625

Informations de copyright

Copyright © 2021, Mir et al.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

Références

Cochrane Database Syst Rev. 2002;(4):CD002005
pubmed: 12519565
Stroke. 1999 Mar;30(3):484-8
pubmed: 10066840
J Acquir Immune Defic Syndr. 2002 Apr 15;29(5):441-9
pubmed: 11981359
Eur Neurol. 2020;83(4):369-379
pubmed: 32877892
N Engl J Med. 2005 Apr 28;352(17):1791-8
pubmed: 15858188
Acta Clin Belg. 2006 Jan-Feb;61(1):24-9
pubmed: 16673613
Clin Appl Thromb Hemost. 2003 Oct;9(4):325-31
pubmed: 14653442
AIDS Patient Care STDS. 2002 May;16(5):205-9
pubmed: 12055028
Stroke. 2004 Mar;35(3):664-70
pubmed: 14976332
J Neurol Neurosurg Psychiatry. 2005 Aug;76(8):1084-7
pubmed: 16024884
Clin Med (Lond). 2016 Dec;16(6):548-550
pubmed: 27927820
Mediterr J Hematol Infect Dis. 2011;3(1):e2011030
pubmed: 21869916
Clin Appl Thromb Hemost. 2004 Jul;10(3):277-80
pubmed: 15247986
AIDS Patient Care STDS. 2001 Jan;15(1):15-24
pubmed: 11177584
BMC Neurol. 2011 Jun 10;11:69
pubmed: 21663613

Auteurs

Wasey Ali Yadullahi Mir (WAY)

Department of Internal Medicine, Mount Sinai Hospital, Chicago, USA.

Dhan B Shrestha (DB)

Department of Medicine, Mount Sinai Hospital, Chicago, USA.

Ayusha Poudel (A)

Intensive Care Unit, Nepal Korea Friendship Municipality Hospital, Kathmandu, NPL.

Vijay K Reddy (VK)

Department of Internal Medicine, Mount Sinai Hospital, Chicago, USA.

Thomas Sullivan (T)

Department of Radiology, Mount Sinai Hospital, Chicago, USA.

Classifications MeSH