Recurrent Stroke as the First Manifestation in a Patient Infected with HIV- A Case Report

This case involves a 26-year-old, HIV-infected woman who presented with recurrent ischemic strokes as the first manifestation of HIV infection. The patient reported a history of three episodes of stroke in the previous 10 years. Recent admission presentation was of left hemiparesis and pseudobulbar palsy. She underwent an extensive workup during her first stroke episode for the risk factors associated with stroke in a very young woman, but no cause found other than positive HIV-1 antibodies. Contrast CT scan of the brain revealed vasculitic changes, but again only HIV found. This case illustrates the possibility of HIV manifesting first as recurrent stroke