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The great imitator--still today! A case of meningovascular syphilis affecting the posterior circulation.
J Stroke Cerebrovasc Dis. 2015 Jan; 24(1):e1-3.JS

Abstract

Cerebral ischemia due to meningovascular syphilis is rare and more frequently affects the anterior circulation than the posterior circulation. We describe clinical features and imaging studies of a 50-year-old patient with Parinaud syndrome and a syphilitic dorsal midbrain infarction. Brain magnetic resonance imaging indicated vasculitis of the posterior circulation. The diagnosis of meningovascular syphilis was established by serum and cerebrospinal fluid examinations. Although rare, because of the high impact on treatment, clinicians should always be aware of meningovascular syphilis in the differential diagnosis of stroke, particularly in young and male patients with cryptogenic stroke.

Authors+Show Affiliations

Department of Neurology, University Hospital Freiburg, Freiburg, Germany. Electronic address: jochen.baeuerle@uniklinik-freiburg.de.Department of Neurology, University Hospital Freiburg, Freiburg, Germany.Department of Neuroradiology, University Hospital Freiburg, Freiburg, Germany.Department of Neuroradiology, University Hospital Freiburg, Freiburg, Germany.Department of Neurology, University Hospital Freiburg, Freiburg, Germany.Department of Neurology, University Hospital Freiburg, Freiburg, Germany.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

25282187

Citation

Bäuerle, Jochen, et al. "The Great Imitator--still Today! a Case of Meningovascular Syphilis Affecting the Posterior Circulation." Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association, vol. 24, no. 1, 2015, pp. e1-3.
Bäuerle J, Zitzmann A, Egger K, et al. The great imitator--still today! A case of meningovascular syphilis affecting the posterior circulation. J Stroke Cerebrovasc Dis. 2015;24(1):e1-3.
Bäuerle, J., Zitzmann, A., Egger, K., Meckel, S., Weiller, C., & Harloff, A. (2015). The great imitator--still today! A case of meningovascular syphilis affecting the posterior circulation. Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association, 24(1), e1-3. https://doi.org/10.1016/j.jstrokecerebrovasdis.2014.07.046
Bäuerle J, et al. The Great Imitator--still Today! a Case of Meningovascular Syphilis Affecting the Posterior Circulation. J Stroke Cerebrovasc Dis. 2015;24(1):e1-3. PubMed PMID: 25282187.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The great imitator--still today! A case of meningovascular syphilis affecting the posterior circulation. AU - Bäuerle,Jochen, AU - Zitzmann,Anna, AU - Egger,Karl, AU - Meckel,Stephan, AU - Weiller,Cornelius, AU - Harloff,Andreas, Y1 - 2014/10/03/ PY - 2014/02/27/received PY - 2014/06/01/revised PY - 2014/07/27/accepted PY - 2014/10/6/entrez PY - 2014/10/6/pubmed PY - 2015/8/22/medline KW - MRI KW - Meningovascular syphilis KW - stroke KW - vasculitis SP - e1 EP - 3 JF - Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association JO - J Stroke Cerebrovasc Dis VL - 24 IS - 1 N2 - Cerebral ischemia due to meningovascular syphilis is rare and more frequently affects the anterior circulation than the posterior circulation. We describe clinical features and imaging studies of a 50-year-old patient with Parinaud syndrome and a syphilitic dorsal midbrain infarction. Brain magnetic resonance imaging indicated vasculitis of the posterior circulation. The diagnosis of meningovascular syphilis was established by serum and cerebrospinal fluid examinations. Although rare, because of the high impact on treatment, clinicians should always be aware of meningovascular syphilis in the differential diagnosis of stroke, particularly in young and male patients with cryptogenic stroke. SN - 1532-8511 UR - https://www.unboundmedicine.com/medline/citation/25282187/The_great_imitator__still_today_A_case_of_meningovascular_syphilis_affecting_the_posterior_circulation_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1052-3057(14)00376-0 DB - PRIME DP - Unbound Medicine ER -