Tags

Type your tag names separated by a space and hit enter

[Meningovascular neurosyphilis as the cause of ischemic cerebrovascular disease in a young man].
Orv Hetil. 2011 May 08; 152(19):763-7.OH

Abstract

Authors report a case of a 35-year-old male with right-sided mild paresis, incontinence, dysexecutive syndrome, short-term memory loss and behavioral changes. Bilateral cerebral infarcts in the region of the caudate nuclei and the adjacent white matter were proved by brain MRI and multiple stenoses of the branches of Willis-circle were confirmed by MR angiography. Elevated protein level and pleocytosis were found in the cerebrospinal fluid with intrathecal IgG synthesis. Serum rapid plasma reagin, Treponema pallidum Particle Agglutination test, Treponema pallidum ELISA, liquor Venereal Disease Research Laboratory tests were positive. Meningovascular neurosyphilis was diagnosed. 24M U/day intravenous penicillin-G treatment was given for 14 days. The patient has vascular dementia due to the bilateral strategic infarcts disconnecting the prefrontal circuits; his symptoms are similar to general paresis. Laboratory and radiologic improvement was observed. Still, the patient have severe residual cognitive decline.

Authors+Show Affiliations

Semmelweis Egyetem, Általános Orvostudományi Kar Bőr-, Nemikórtani és Bőronkológiai Klinika Budapest. toveroka@yahoo.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

hun

PubMed ID

21498167

Citation

Tóth, Veronika, et al. "[Meningovascular Neurosyphilis as the Cause of Ischemic Cerebrovascular Disease in a Young Man]." Orvosi Hetilap, vol. 152, no. 19, 2011, pp. 763-7.
Tóth V, Hornyák C, Kovács T, et al. [Meningovascular neurosyphilis as the cause of ischemic cerebrovascular disease in a young man]. Orv Hetil. 2011;152(19):763-7.
Tóth, V., Hornyák, C., Kovács, T., Tóth, B., Várallyay, G., Ostorházi, E., Köles, J., Bereczki, D., Marschalkó, M., & Kárpáti, S. (2011). [Meningovascular neurosyphilis as the cause of ischemic cerebrovascular disease in a young man]. Orvosi Hetilap, 152(19), 763-7. https://doi.org/10.1556/OH.2011.29115
Tóth V, et al. [Meningovascular Neurosyphilis as the Cause of Ischemic Cerebrovascular Disease in a Young Man]. Orv Hetil. 2011 May 8;152(19):763-7. PubMed PMID: 21498167.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Meningovascular neurosyphilis as the cause of ischemic cerebrovascular disease in a young man]. AU - Tóth,Veronika, AU - Hornyák,Csilla, AU - Kovács,Tibor, AU - Tóth,Béla, AU - Várallyay,György, AU - Ostorházi,Eszter, AU - Köles,József, AU - Bereczki,Dániel, AU - Marschalkó,Márta, AU - Kárpáti,Sarolta, PY - 2011/4/19/entrez PY - 2011/4/19/pubmed PY - 2011/6/4/medline SP - 763 EP - 7 JF - Orvosi hetilap JO - Orv Hetil VL - 152 IS - 19 N2 - Authors report a case of a 35-year-old male with right-sided mild paresis, incontinence, dysexecutive syndrome, short-term memory loss and behavioral changes. Bilateral cerebral infarcts in the region of the caudate nuclei and the adjacent white matter were proved by brain MRI and multiple stenoses of the branches of Willis-circle were confirmed by MR angiography. Elevated protein level and pleocytosis were found in the cerebrospinal fluid with intrathecal IgG synthesis. Serum rapid plasma reagin, Treponema pallidum Particle Agglutination test, Treponema pallidum ELISA, liquor Venereal Disease Research Laboratory tests were positive. Meningovascular neurosyphilis was diagnosed. 24M U/day intravenous penicillin-G treatment was given for 14 days. The patient has vascular dementia due to the bilateral strategic infarcts disconnecting the prefrontal circuits; his symptoms are similar to general paresis. Laboratory and radiologic improvement was observed. Still, the patient have severe residual cognitive decline. SN - 0030-6002 UR - https://www.unboundmedicine.com/medline/citation/21498167/[Meningovascular_neurosyphilis_as_the_cause_of_ischemic_cerebrovascular_disease_in_a_young_man]_ L2 - http://www.akademiai.com/doi/full/10.1556/OH.2011.29115?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -