[Stroke, HIV and meningovascular syphilis: study of three cases].
Rev Neurol (Paris). 2010 Jan; 166(1):76-82.RN

Abstract

INTRODUCTION

Various clinical manifestations can occur in syphilis, especially meningovascular syphilis. We report three cases of ischemic stroke related to meningovascular syphilis and HIV infection.

CASE REPORTS

Three men, aged 30, 31 and 41, presented typical neurologic deficit leading to the diagnosis of ischemic stroke. Radiographic investigations showed internal carotid thrombosis in two patients, and a basilar stenosis in the third. CSF analysis and blood samples revealed meningovascular syphilis associated with HIV infection. The other explorations were normal.

CONCLUSION

Due to the reemergence of syphilis, search for Treponema pallidum infection should be systematic in young stroke victims.

Links

Publisher Full Text
linkinghub.elsevier.com
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Authors+Show Affiliations

Lachaud S
Unité neurovasculaire, hôpital Saint-Roch, CHU de Nice, 5, rue Pierre-Dévoluy, 06006 Nice cedex 1, France. lachaud.s@chu-nice.fr
Suissa L
No affiliation info available
Mahagne MH
No affiliation info available

MeSH

AdultBrainBrain IschemiaCarotid Artery ThrombosisCerebral InfarctionHIV InfectionsHumansMagnetic Resonance AngiographyMagnetic Resonance ImagingMaleNeurosyphilisRadiographyStrokeSyphilis, CardiovascularVertebrobasilar Insufficiency

Pub Type(s)

Case Reports
Journal Article

Language

fre

PubMed ID

19406447