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Imaging of Cerebrovascular and Cardiovascular Disease in AIDS Patients

Peter D. Corr1

1 Department of Radiology, Nelson Mandela Medical School, University of KwaZulu Natal, Private Bag 7, Congella, Durban, KZN, South Africa 4013.


Figure 1
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  		Fig. 1 —Histologic section (H and E) through cerebral vessel of patient with neuro-AIDS showing vasculopathy with marked hyaline thickening of vessel wall with lymphocyte and macrophage infiltrate in perivascular space.

 

Figure 2
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  		Fig. 2A —25-year-old HIV-positive woman with known cytomegalovirus (CMV) retinitis who presented with stroke. T2-weighted MR image shows hyperdense left basal ganglia infarct.

 

Figure 3
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  		Fig. 2B —25-year-old HIV-positive woman with known cytomegalovirus (CMV) retinitis who presented with stroke. MR angiography shows focal irregularity of left middle cerebral artery with occlusion of distal branches in keeping with vasculopathy.

 

Figure 4
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  		Fig. 3 —20-year-old man with stroke after tuberculous meningitis. Unenhanced CT shows cerebral atrophy and multiple infarcts in right external capsular region and hydrocephalus.

 

Figure 5
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  		Fig. 4 —27-year-old HIV-positive woman with stroke. Digital subtraction angiogram of left middle cerebral artery territory shows HIV vasculopathy with caliber variation of vessels and small peripheral aneurysm.

 

Figure 6
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  		Fig. 5 —6-year-old HIV-positive girl with headache. MR angiography shows fusiform aneurysm of distal right internal carotid artery.

 

Figure 7
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  		Fig. 6 —30-year-old HIV-positive woman with stroke. Left internal carotid angiogram shows dilating vasculopathy involving both anterior and middle cerebral arteries with aneurysm.

 

Figure 8
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  		Fig. 7 —34-year-old HIV-positive man with pulsatile swelling in right side of neck. Arch aortogram shows saccular aneurysm arising from carotid bifurcation.

 

Figure 9
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  		Fig. 8 —30-year-old HIV-positive man with bilateral pulsatile neck masses. Surface shaded display CT angiogram shows bilateral carotid bifurcation aneurysms.

 

Figure 10
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  		Fig. 9 —27-year-old HIV-positive woman with chest pain. CT angiogram showed fusiform aneurysm of proximal left common carotid artery.

 

Figure 11
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  		Fig. 10 —25-year-old HIV-positive man with central chest pain. Arch angiogram shows large saccular aneurysm originating from ascending aorta.

 

Figure 12
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  		Fig. 11 —22-year-old HIV-positive man with abdominal pain. Flush abdominal aortogram shows multisaccular aneurysm of distal aorta.

 

Figure 13
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  		Fig. 12A —30-year-old HIV-positive man with shortness of breath. Chest radiograph shows enlarged pulmonary arteries with basal ground-glass opacification in lungs.

 

Figure 14
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  		Fig. 12B —30-year-old HIV-positive man with shortness of breath. High-resolution CT of lungs shows ground-glass infiltrates in both lungs from lymphoid interstitial pneumonitis and prominent hila from pulmonary hypertension.

 

Figure 15
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  		Fig. 13A —20-year-old HIV-positive man with headaches and confusion. Contrast-enhanced CT (A) and T1-weighted MR (B) images show occlusion of superior sagittal sinus at torcula and ring-enhancing tuberculoma in left frontal lobe.

 

Figure 16
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  		Fig. 13B —20-year-old HIV-positive man with headaches and confusion. Contrast-enhanced CT (A) and T1-weighted MR (B) images show occlusion of superior sagittal sinus at torcula and ring-enhancing tuberculoma in left frontal lobe.

 

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