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Background: Intracranial haemorrhage is an uncommon complication of HIV infection and the rate of death of AIDS patients with intracranial haemorrhage tends to be higher, generally in HIV patients with T lymphocytes under 200 per mm³. The incidence of such case is not more than 1% in AIDS patient and is thought to be more common in young adults.

Case: A male patient, 49 years-old with AIDS. Clinical presentations were shortness of breath, fever, cough with greenish yellow sputum, body weakness, anxiety, difficulty of sleeping, difficulty of speaking, prolonged homeostatic parameters, and minimal lesion of intracranial haemorrhage in head CT scan. During treatment the patient gets antibiotic therapy, anti fungal therapy, supportive with sedative and non-surgical treatment for minimal intracranial haemorrhage. Patients were discharged on the 12th day of treatment after clinical improvement and minimal complaints.

Discussions: Patients with intracranial haemorrhage have various clinical findings that determine surgical or conservative treatment decisions. In a condition, a patient with a wide hematoma in the brain, with unconscious conditions and poor motor responses and unreactive pupils, as well as other conditions, a patient with minimal focal deficits with small hematoma in the brain, surgery is generally not performed on both conditions.

Conclusion: We reported an AIDS patient with intracranial haemorrhage complication (minimal lesion). His condition was improved with non surgical management.

 

Keywords: Acquired immune deficiency syndrome, intracranial haemorrhage, therapy