Spontaneous intraspinal and intracranial subdural hematoma in a highly active antiretroviral therapy-naïve-patient with HIV

Lee, Hyun Jung; Yoo, Jeong Rae

doi:2024.21.3.106

J Med Life Sci > Volume 21(3); 2024 > Article

Case Report

Journal of Medicine and Life Science 2024;21(3):106-111.
DOI: https://doi.org/10.22730/jmls.2024.21.3.106 Published online September 30, 2024.

Spontaneous intraspinal and intracranial subdural hematoma in a highly active antiretroviral therapy-naïve-patient with HIV

Hyun Jung Lee^1,2

, Jeong Rae Yoo^3,4

¹Department of Physical Medicine and Rehabilitation, Jeju National University College of Medicine, Jeju, Republic of Korea
²Department of Physical Medicine and Rehabilitation, Jeju National University Hospital, Jeju, Republic of Korea
³Department of Internal Medicine, Jeju National University Hospital, Jeju, Republic of Korea
⁴Department of Internal Medicine, Jeju National University College of Medicine, Jeju, Republic of Korea

Correspondence: Jeong Rae Yoo, Tel: 82-64-717-2286, Fax: 82-64-717-2286, Email: mdyoojr@gmail.com

Received: 23 May 2024 • Revised: 2 July 2024 • Accepted: 4 July 2024

Abstract

Spontaneous intraspinal and intracranial subdural hematomas (SDHs) are rare, potentially life-threatening complications. We present the case of a 38-yearold highly active antiretroviral therapy-naïve human immunodeficiency virus (HIV)- positive patient who developed simultaneous intraspinal and intracranial SDHs without hemostatic abnormalities. The patient presented with acute lower limb weakness and back pain, and later developed neurological symptoms, including diplopia and incontinence. This case highlights the importance of considering SDHs in HIV-positive patients presenting with neurological symptoms, and underscores the need for prompt diagnosis and multidisciplinary management.

Key Words: HIV, Hemorrhage, Hematoma, subdural

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