Opportunistic cerebral vasculopathy and stroke in patients with the acquired immunodeficiency syndrome
K. D. Kieburtz, T. A. Eskin, L. Ketonen and M. J. Tuite
Department of Neurology, University of Rochester Medical Center, NY.
OBJECTIVE--To describe an unusual cause of stroke in patients with the
acquired immunodeficiency syndrome. DESIGN--An observational case series of
hospitalized patients with subsequent autopsy. MEASURES--Clinical,
radiological, and pathological examinations were performed. RESULTS--In
three of 14 patients with stroke, the infarctions were secondary to an
opportunistic vasculopathy caused by Candida albicans, cytomegalovirus, or
lymphoma. CONCLUSION--Opportunistic conditions may lead to vascular
abnormalities and subsequent stroke in patients with the acquired
immunodeficiency syndrome.
