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

Abstract

Patient: Male, 51Final Diagnosis: Bithalamic infarctSymptoms: Propos incohérentsMedication: —Clinical Procedure: —Specialty: NeurologyObjective:Rare co-existance of disease or pathologBackground: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.

Case Report: Thalamomesencephalic stroke due to vasculitis in a patient with HIV

“…In our region, ischemic stroke due to infectious vasculitis is quite common. In 2017, the first case presenting bi-thalamic infarctions leading to acute vascular dementia associated with HIV infection was reported 31 .…”