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AJNR - American Journal of Neuroradiology

Published ahead of print on February 26, 2009
doi: 10.3174/ajnr.A1475

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American Journal of Neuroradiology 30:1273-1274, June-July 2009
© 2009 American Society of Neuroradiology

Case Report
BRAIN

Multiple Symptomatic Cerebral Arteriovenous Malformations in a Patient with HIV

A.I. Alomari^a, P. Jiarakongmun^b, C. Dejthevaporn^c and S. Pongpech^b

^a Division of Vascular and Interventional Radiology, Department of Radiology, Children's Hospital Boston, Boston, Mass
^b Department of Radiology, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
^c Division of Neurology, Department of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand

Please address correspondence to Ahmad I. Alomari, MD, Division of Vascular and Interventional Radiology, Children's Hospital Boston, 300 Longwood Ave, Boston, MA 02115; e-mail: ahmad.alomari{at}childrens.harvard.edu

SUMMARY: This brief case report describes an unusual presumed association of chronic HIV infection with multiple cerebral arteriovenous malformations. An adult male patient presented with recurrent spontaneous brain intracranial hemorrhages and neurologic deficits requiring surgical evacuation. The diagnosis was delayed because of lack of a high index of suspicion of this unexpected and previously unrecognized association.