(34%) were patients who had not been submitted to serological testing. In the first group (tuberculosis and human immunodeficiency virus seropositivity), males from 30 to 40 years of age predominated, the most common clinical presentation of tuberculosis was pulmonary (65.71%), and the cure rate was 59.38%. In the group of tuberculosis patients presenting human immunodeficiency virus seronegativity, males from 30 to 40 years of age also predominated, the most common clinical presentation of tuberculosis was also pulmonary (70.55%), and the cure rate was 81.63%. Conclusion: We conclude that the human immunodeficiency virus plays an important role in the epidemiology of tuberculosis. Therefore, serological testing for human immunodeficiency virus should be carried out when a diagnosis of tuberculosis is made.

We conclude that the human immunodeficiency virus plays an important role in the epidemiology of tuberculosis. Therefore, serological testing for human immunodeficiency virus should be carried out when a diagnosis of tuberculosis is made.

Spinal epidural hematoma can occur spontaneously or as a secondary condition and it represents less than 1% of space-occupying lesions within the spinal canal. The incidence of spontaneous epidural bleeding is estimated to be 0.1 cases per 100,000 populations per year. Typical clinical manifestations include acute onset of back pain, sometimes associated with radicular paresthesia and signs of spinal cord compression in some cases. The clinical presentation with hemiparesis is rare, and it may hinder the diagnosis, especially in emergency situations. The purpose of this article is to present a clinical case of acute epidural hematoma with atypical clinical presentation, followed by literature review of spinal epidural hematoma.

Context: Stroke is a considerable cause of morbidity and mortality nowadays. It is known the incidence, risk factors and etiology in mid-adults differ notably from older patients. When are young stroke patients, should investigate, besides traditional risk factors, a congenital heart disease, inflammatory and infectious causes, and the use of drugs to prevent new events. Case report: A 29-year-old woman, white, with hypothyroidism and history of surgical resection of retinoblastoma at 3 years of age, with sequelae of bilateral amaurosis, admitted with a history of neurological deficit in the left hemibody, with progression in 14 days until complete left hemiparesis provided. The cranial tomography showed infarction in the territory of the right middle cerebral artery and arteriography showed occlusion of the right internal carotid and dissection of the supraclinoid portion of this artery. Conclusions: While much is known about risk factors, pathophysiology and prognosis of extracranial arterial dissection, data are rare when it comes to the dissection of the intracranial portion of the internal carotid, no case was found that evidenced internal carotid artery occlusion of one side and contralateral dissection. The importance of knowing about the internal carotid dissection is the fact that this etiology is suspected when diagnosis young stroke patients.