Stroke in Children with Human Immunodeficiency Virus in Botswana: A Report of Six Cases (P4.303)

CONCLUSIONS: The risk of stroke appears to be increased in children with HIV, though further controlled studies are necessary to further investigate this. Etiologies for stroke in children with HIV includes HIV vasculopathy, HIV cardiomyopathy, and opportunistic infections. Evaluation should include head imaging with vascular imaging, MRI with MRA if possible, and CT. The utility of lumbar puncture and hypercoaguability workup in this population needs to be investigated further. Given the difficulties of monitoring anticoagulation in this setting, low dose aspirin is a reasonable first line treatment.Disclosure: Dr. Khurana has nothing to disclose. Dr. Bearden has nothing to disclose.
Source: Neurology - Category: Neurology Authors: Tags: NeuroAIDS Source Type: research