Showing posts with label HIV related CNS Vasculitis DSA. Show all posts
Showing posts with label HIV related CNS Vasculitis DSA. Show all posts

Wednesday, 15 February 2012

Primary CNS Vasculitis DSA

A 35 yo male with basal ganglionic infarcts.
Cerebral Angiogram; Right ICA injection (oblique view) showing irregularities involving right ICA cavernous supra clinoid portion and ACA A1 segment; Multiple dilatations and focal narrowings giving "beaded" appearance suggestive of Primary CNS Vasculitis / Arteritis - appears to be HIV associated as meanwhile patient found to be TRIDOT Positive.
HIV’s CNS complications result either from direct HIV infection or as a consequence of opportunistic infections.
HIV related CNS vasculitis is a direct neurological complication of HIV, where intracranial vessels develop aneurysmal dilatations and is associated with either infarction or bleeding.