Humberto Foyaca Sibat
Department of Internal Medicine and Therapeutics, Nelson Mandela Academic Hospital, Walter Sisulu University, South AfricaPublications
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Research Article
New Hypotheses on Midbrain Stroke Secondary to HIV Vasculitis and Drug Management
Author(s): Lourdes de Fatima Ibanez Valdes* and Humberto Foyaca Sibat
Introduction: Midbrain ischemic stroke represents a condition mainly caused by an occlusion of the Posterior Cerebral Artery (PCA) branches, which are paired terminal branches of the basilar artery in the circle of Willis. PCA provides supply to most parts of the occipital cortex, the inferior and medial temporal cortices, the thalamus, and rostral midbrain. In the pre-ART era, Patients Living with HIV (PLWH) had a high risk of ischemic stroke compared to those without HIV, and the strokes occurred mostly in those with advanced AIDS, complicated with secondary infections such as fungal meningitis, toxoplasmosis encephalitis, tuberculous meningitis and neurosyphilis or those with coagulopathies or vasculitis. The main aid of this review is to report a case presenting a midbrain stroke due to HIV vasculitis and to bring more light into the pathogenesis of this.. Read More»
DOI: 10.4303/JDAR/236518
