Abstract

OCAMPO-CHAPARRO, José Mauricio; RIOS-QUINTERO, César Augusto; ALVAREZ-PAYARES, Jorge Eliecer  and  MUNOZ-LOMBO, Jenny Patricia. Meningovascular neurosyphilis as a cause of stroke in a young patient: case report. Medicas UIS [online]. 2019, vol.32, n.2, pp.53-58.  Epub Aug 30, 2019. ISSN 0121-0319.  https://doi.org/10.18273/revmed.v32n2-2019007.

Stroke in young adults is a rare event present in less than 5% of cases worldwide, representing a diagnostic challenge due to the multiple possible etiologies, including infections. 15% to 40% of patients with untreated syphilis may develop tertiary syphilis; with mainly neurodestructive manifestations, described in late syphilis, but in its early stage with chronic meningitis and meningovascular stroke. The case of a 40-year-old male patient with a history of behavior changes, auditory hallucinations and insomnia is presented, who consults the emergency department for presenting right hemiplegia, motor aphasia, palmoplantar lesions and rosette in glans associated with inguinal adenopathies. Given the imaging and cerebrospinal fluid findings, a diagnosis of ischemic stroke of the left anterior cerebral circulation was established, secondary to meningovascular neurosyphilis, with confirmation of immunosuppression due to human immunodeficiency virus. MÉD.UIS.2019;32(2):53-8

Keywords : Treponema pallidum; Neurosyphilis; Stroke; Cerebrospinal fluid; Acquired Immunodeficiency syndrome; Penicillin.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )