PDF(Pubmed)
Abstract：
UNASSIGNED: Meningovascular syphilis, a distinct classification of neurosyphilis, has gained attention for its association with cerebral ischemia, particularly among individuals living with HIV. This unique manifestation of syphilis affects the meningeal and vascular structures of the central nervous system, leading to cerebrovascular complications. In this case report, we present the case of a young man diagnosed with neurosyphilis and HIV after presenting with an ischemic stroke. We discuss the challenges associated with diagnosing neurosyphilis, given its frequent atypical presentations that can mimic other diseases. Furthermore, we explore the management approach for these coexisting conditions.
UNASSIGNED: A right-handed male patient presented with a sudden paresis of the right upper and lower extremities, along with facial deviation to the left, and demonstrated low verbal output, limitation in constructing sentences, and conveying thoughts or ideas effectively. Upon admission, the patient\'s neurological examination revealed a FOUR coma scale of 16. He exhibited motor aphasia, right facial paralysis sparing the forehead, and right upper and lower extremity spastic hemiparesis with a strength of 3 out of 5 on the Medical Research Council scale. The Plantar reflex was positive on the affected side. Brain magnetic resonance imaging revealed left middle cerebral artery infarction (cortical and lenticulostriate territory acute infarction).
UNASSIGNED: This case highlights the need for treating physician to have a high index of suspicion towards meningovascular syphilis as a potential cause of stroke in young individuals. This is crucial, especially when there is also a concurrent HIV infection, as it requires specific treatment.
UNASSIGNED: A right-handed male patient presented with a sudden paresis of the right upper and lower extremities, along with facial deviation to the left, and demonstrated low verbal output, limitation in constructing sentences, and conveying thoughts or ideas effectively. Upon admission, the patient\'s neurological examination revealed a FOUR coma scale of 16. He exhibited motor aphasia, right facial paralysis sparing the forehead, and right upper and lower extremity spastic hemiparesis with a strength of 3 out of 5 on the Medical Research Council scale. The Plantar reflex was positive on the affected side. Brain magnetic resonance imaging revealed left middle cerebral artery infarction (cortical and lenticulostriate territory acute infarction).
UNASSIGNED: This case highlights the need for treating physician to have a high index of suspicion towards meningovascular syphilis as a potential cause of stroke in young individuals. This is crucial, especially when there is also a concurrent HIV infection, as it requires specific treatment.
摘要：
■脑膜血管梅毒，神经梅毒的不同分类，因其与脑缺血的关系而受到关注，特别是在艾滋病毒感染者中。梅毒的这种独特表现会影响中枢神经系统的脑膜和血管结构，导致脑血管并发症。在这个案例报告中,我们介绍了一例年轻男子在出现缺血性卒中后被诊断为神经梅毒和HIV的病例.我们讨论了与诊断神经梅毒相关的挑战，鉴于其常见的非典型表现可以模仿其他疾病。此外，我们探索了这些共存条件的管理方法。
■一名右撇子男性患者出现右上下肢突然轻瘫，随着面部向左偏离，并显示出低的口头输出，在构造句子方面的限制，有效地传达思想或想法。一被录取,患者的神经系统检查显示昏迷评分为16分。他表现出运动性失语症，右面瘫保留额头，和右上下肢痉挛性偏瘫，在医学研究理事会量表上强度为5分之3。患侧的足底反射呈阳性。脑磁共振成像显示左大脑中动脉梗死（皮质和豆状纹状体急性梗死）。
■该病例突出表明，治疗医生需要高度怀疑脑膜血管梅毒是年轻人中风的潜在原因。这是至关重要的,特别是当同时存在HIV感染时，因为它需要特殊的治疗。
■一名右撇子男性患者出现右上下肢突然轻瘫，随着面部向左偏离，并显示出低的口头输出，在构造句子方面的限制，有效地传达思想或想法。一被录取,患者的神经系统检查显示昏迷评分为16分。他表现出运动性失语症，右面瘫保留额头，和右上下肢痉挛性偏瘫，在医学研究理事会量表上强度为5分之3。患侧的足底反射呈阳性。脑磁共振成像显示左大脑中动脉梗死（皮质和豆状纹状体急性梗死）。
■该病例突出表明，治疗医生需要高度怀疑脑膜血管梅毒是年轻人中风的潜在原因。这是至关重要的,特别是当同时存在HIV感染时，因为它需要特殊的治疗。
