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AJNR - American Journal of Neuroradiology

Publication Preview: Published February 26, 2009

American Journal of Neuroradiology 2009;30:1273.

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American Journal of Neuroradiology
DOI 10.3174/ajnr.A1475

HEAD & NECK

Multiple Symptomatic Cerebral Arteriovenous Malformations in a Patient with HIV

A.I. Alomari, P. Jiarakongmun, C. Dejthevaporn and S. Pongpech

From the Division of Vascular and Interventional Radiology (A.I.A.), Department of Radiology, Children's Hospital Boston, Boston, Mass; Department of Radiology (P.J., S.P.), Ramathibodi Hospital, Mahidol University, Bangkok, Thailand; and Division of Neurology (C.D.), 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.