%0 Journal Article
%T Locked-in Syndrome Due to Meningovascular Syphilis: A Case Report and Literature Review.
%A Yokota Y
%A Ishihara M
%A Ninomiya S
%A Mitsuke K
%A Kamei S
%A Nakajima H
%J Intern Med
%V 0
%N 0
%D Oct 2021 19
%M 34670896
%F 1.282
%R 10.2169/internalmedicine.8269-21
%X We herein report a 46-year-old man presenting with locked-in syndrome secondary to meningovascular syphilis. Brain magnetic resonance imaging (MRI) demonstrated multiple acute infarctions in the left ventromedial pons, right basis pontis, and left basal ganglia. His locked-in syndrome was hypothesized to have been caused by thrombosis of the small paramedian branches of the basilar artery due to syphilitic arteritis. This is a unique case of bilateral ventromedial pontine infarction caused by meningovascular syphilis that presented as locked-in syndrome. Meningovascular syphilis should be included in the differential diagnosis of uncommon stroke, particularly in young men.