Síndrome alterno mesencefálico: síndrome de Weber en dos pacientes varones VIH positivos con toxoplasmosis cerebral

This report describes the case of two male HIV-positive patients who were not receiving treatment and whose diagnosis was confirmed by serology testing. Both developed midbrain stroke syndrome structural injury, whichwas caused a central nervous system infection due to cerebral toxoplasmosis, verified brain magnetic resonance imaging. condition cerebrospinal fluid testing.Weber’s is very rare type with little information available on its symptoms evolution. It first described Sir Herman David Weber in 1863 characterized ipsilateral injury third cranial nerve fascicle contralateral hemiparesis corticospinal corticobulbar tracts peduncle. Its causes range from ischemic or hemorrhagic processes, which damage peduncle, tumors, aneurysms, extradural hematomas infectious diseases that behave like spreading processes.The assessed showed clinical signs such as ptosis; vertical double vision; difficulty standing up; hemiparesis; hyporeflexia; decreased superficial deep sensation; poor balance coordination; nervepalsy; slurred speech; intermittent disorientation time, place person; facial asymmetry. Oral trimethoprim-