HIV–Associated Diffuse Intracranial Aneurysmal Arteriopathy

A 12-year-old boy presented with sudden weakness of his right upper and lower limbs, with facial deviation. He was HIV positive and was receiving antiretroviral therapy for 1 year. Cerebral computed tomography angiography of the brain revealed aneurysmal dilatation and dolichoectasia involving the intracranial vessels (Figure).

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