H-Index
17
Scimago Lab
powered by Scopus
eISSN: 1941-5923
call: +1.631.629.4328
Mon-Fri 10 am - 2 pm EST

Logo

MSMbanner
Medical Science Monitor Basic Research

Annals
ISI-Home

Get your full text copy in PDF

Acute Onset Vascular Dementia with Bi-Thalamic Infarct in an HIV-Positive Subject

Léonard Kouamé Kouassi, Mariam Doumbia-Ouattara

(Department of Neurology, University Hospital of Yopougon, Abidjan, Cote d'Ivoire)

Am J Case Rep 2017; 18:1145-1147

DOI: 10.12659/AJCR.905297


BACKGROUND: Bi-thalamic infarctions are rare and marked by clinical polymorphism. Their association with HIV has never been reported.
CASE REPORT: We report a 51-year-old right-handed man with no medical history, who presented an acute onset vascular dementia associated with an antero-retrograde amnesia, a word-finding difficulty, and a dysexecutive syndrome. The CT scan was normal. Brain MRI revealed a paramedian and bi-thalamic infarction, evoking an occlusion of the Percheron artery. The electrocardiogram, transthoracic and transesophageal cardiac ultrasound, and Doppler echo of cervical arteries gave normal results. The biological work-up revealed a positive serology to HIV1. The patient was lost to follow-up and was reported dead 2 months later from an unknown cause.
CONCLUSIONS: This case illustrates the need to perform an HIV serology in the presence of a bi-thalamic infarction with no obvious cause, particularly in a young subject.

This paper has been published under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) allowing to download articles and share them with others as long as they credit the authors and the publisher, but without permission to change them in any way or use them commercially.
I agree