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Article
April 1993

Opportunistic Cerebral Vasculopathy and Stroke in Patients With the Acquired Immunodeficiency Syndrome

Author Affiliations

From the Departments of Neurology (Dr Kieburtz), Pathology (Dr Eskin), and Radiology (Drs Ketonen and Tuite), University of Rochester (NY) Medical Center.

Arch Neurol. 1993;50(4):430-432. doi:10.1001/archneur.1993.00540040082019
Abstract

• Objective.  —To describe an unusual cause of stroke in patients with the acquired immunodeficiency syndrome.

Design.  —An observational case series of hospitalized patients with subsequent autopsy.

Measures.  —Clinical, radiological, and pathological examinations were performed.

Results.  —In three of 14 patients with stroke, the infarctions were secondary to an opportunistic vasculopathy caused by Candida albicans, cytomegalovirus, or lymphoma.

Conclusion.  —Opportunistic conditions may lead to vascular abnormalities and subsequent stroke in patients with the acquired immunodeficiency syndrome.

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