Intracranial Aneurysms Involving Circle of Willis in a Child with Human Immunodeficiency Virus Associated Vasculitis- A Rare Case Report TD13-TD15
Dr. Amol Madanlal Lahoti,
F4/8, Vindhychal Hostel, Nkp Sims and Lata Mangeshkar Hospital, Nagpur 440017, Maharashtra, India.
Intracranial Arterial Aneurysms (IAAs) are relatively rare in paediatric population and they account for at least 10%–15% of haemorrhagic strokes which occur during the first two decades of life. Here we present a unique and unusual case of Human Immunodeficiency Virus (HIV) infected child who presented with intracranial aneurysms with formation of collaterals and vasculopathy, demonstrating low viral count despite receiving adequate antiretroviral treatment. Intracranial vascular involvement, their complications and its incidence in these patients may become increasingly common as the management of human immunodeficiency virus infection continues to improve and afflicted patients survive for longer periods because of advancement in the antiretroviral treatment. Diagnosing aneurysm of cerebral circulation needs high degree of suspicion and correlation between clinical and radiological findings.