Email this article AN ISCHEMIC STROKE CAUSED BY MENINGOVASCULAR SYPHILIS
- Authors: Eliseev Y.V.1
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Affiliations:
- Moscow Regional Research and Clinical Institute (MONIKI)
- Issue: No 39 (2015)
- Pages: 136-139
- Section: CLINICAL CASES
- URL: https://almclinmed.ru/jour/article/view/248
- DOI: https://doi.org/10.18786/2072-0505-2015-39-136-139
- ID: 248
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Abstract
Fourteen percent of all ischemic strokes occur in young patients (< 45 years). One of the causes of ischemic stroke in young patients is the isolated cerebral arteritis related to a neuroinfection. The author describes a clinical case of ischemic stroke in a young patient with neurosyphilis. Diagnosis of syphilis was confirmed by laboratory investigations; liquor tests and clinical data allowed to put a diagnosis of meningovascular syphilis. Timely diagnostics and treatment of syphilitic infection are helpful in avoiding progression of neurosyphilis, including its parenchymal forms.
Keywords
Fourteen percent of all ischemic strokes occur in young patients (< 45 years). One of the causes of ischemic stroke in young patients is the isolated cerebral arteritis related to a neuroinfection. The author describes a clinical case of ischemic stroke in a young patient with neurosyphilis. Diagnosis of syphilis was confirmed by laboratory investigations, liquor tests and clinical data allowed to put a diagnosis of meningovascular syphilis. Timely diagnostics and treatment of syphilitic infection are helpful in avoiding progression of neurosyphilis, including its parenchymal forms. Key words: stroke, neurosyphilis, clinical case.
About the authors
Yu. V. Eliseev
Moscow Regional Research and Clinical Institute (MONIKI)
Author for correspondence.
Email: dreliseevru@gmail.com
Junior Research Fellow, Department of Neurology
РоссияReferences
- Елисеев ЮВ. Нейросифилис у лиц пожилого возраста. Клиническая геронтология. 2012;18(11–12):66–70. Eliseev YuV. Neyrosifilis u lits pozhilogo vozrasta [Neurosyphilis in elderly]. Klinicheskaya gerontologiya. 2012;18(11–12):66–70 (in Russian).
- Елисеев ЮВ, Котов СВ, Котов АС. Спинная сухотка. Клиническая геронтология. 2014;20(7–8):32–4. Eliseev YuV, Kotov SV, Kotov AS. Spinnaya sukhotka [Syphilitic myelopathy]. Klinicheskaya gerontologiya. 2014;20(7–8):32–4 (in Russian).
- Arnold M, Halpern M, Meier N, Fischer U, Haefeli T, Kappeler L, Brekenfeld C, Mattle HP, Nedeltchev K. Age-dependent differences in demographics, risk factors, co-morbidity, etiology, management, and clinical outcome of acute ischemic stroke. J Neurol. 2008;255(10): 1503–7.
- Otero Palleiro MM, Barbagelata Lopez C. Etiologic subtypes of ischemic stroke in young adults aged 18 to 45 years: a study of a series of 93 patients. Rev Clin Esp. 2007;207(4):158–65.
- Rasura M, Spalloni A, Ferrari M, De Castro S, Patella R, Lisi F, Beccia M. A case series of young stroke in Rome. Eur J Neurol. 2006;13(2): 146–52.
- Добрынина ЛА, Калашникова ЛА, Павлова ЛН. Ишемический инсульт в молодом возрасте. Журнал неврологии и психиатрии им. С.С. Корсакова. 2011;111(3):4–8. Eliseev YuV, Kotov SV, Kotov AS. Spinnaya sukhotk [Syphilitic myelopathy]. Klinicheskaygerontologiya. 2014;20(7–8):32–4 (in Russian).
- Cerrato P, Grasso M, Imperiale D, Priano L, Baima C, Giraudo M, Rizzuto A, Azzaro C, Lentini A, Bergamasco B. Stroke in young patients: etiopathogenesis and risk factors in different age classes. Cerebrovasc Dis. 2004;18(2):154–9.
- Новиков ЮА, Новгородова ТИ, Кидалов МБ, Чермошенцев АА, Филиппов СО, Орлова ЛИ. Особенности иммунного реагирования при нейросифилисе. Вестник дерматологии и венерологии. 2012;(6):43–7. Eliseev YuV, Kotov SV, Kotov AS. Spinnaya sukhotk [Syphilitic myelopathy]. Klinicheskaygerontologiya. 2014;20(7–8):32–4 (in Russian).
- Putaala J, Metso AJ, Metso TM, Konkola N, Kraemer Y, Haapaniemi E, Kaste M , Tatlisumak T. Analysis of 1008 consecutive patients aged 15 to 49 with first-ever ischemic stroke: the Helsinki young stroke registry. Stroke. 2009;40(4):1195–203.
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