Bilateral internal carotid artery occlusion with compensatory perfusion in a HIV-infected patient

Keywords: HIV, occlusive arteriopathy, internal carotid artery

Abstract

HIV infection occlusive arteriopathies may result in neurological symptoms. We report a case of bilateral complete occlusion of the extracranial portions of the internal carotid arteries in a HIV+ve patient who presented with a syncopal episode due to intraventricular haemorrhage. Compensatory blood flow from the posterior cerebral circulation via the circle of Willis resulted in small telangiectatic vessels arising from the posterior cerebral circulation which probably accounted for this rare haemorrhagic complication of an occlusive arteriopathy.

Author Biographies

S M Gowan, University of the Witwatersrand

Division of Neurosurgery, Department of Neurosciences, University of the Witwatersrand, Johannesburg, South Africa

L M Ford, University of the Witwatersrand

Division of Neurosurgery, Department of Neurosciences, University of the Witwatersrand, Johannesburg, South Africa

I N Human, University of the Witwatersrand

Division of Neurosurgery, Department of Neurosciences, University of the Witwatersrand, Johannesburg, South Africa

v Goolab, University of the Witwatersrand

Division of Neurosurgery, Department of Neurosciences, University of the Witwatersrand, Johannesburg, South Africa

Published
2020-01-14
How to Cite
Gowan, S., Ford, L., Human, I., & Goolab, v. (2020). Bilateral internal carotid artery occlusion with compensatory perfusion in a HIV-infected patient. South African Journal of Surgery, 58(01), 44. Retrieved from http://sajs.redbricklibrary.com/index.php/sajs/article/view/3109
Section
Case Reports