ABSTRACT
Herein a case is described of a 54-years old patient, HIV negative, with cerebro-vascular disease by basilar artery thrombosis secondary to meningovascular neurosyphilis. Neurosyphilis is the impairment at any stage of the central nervous system by Treponema pallidum subspecies pallidum and includes asymptomatic and symptomatic forms of infection. The presentation can take many forms, depending on the location and extent of tissue damage. The currently recommended treatment is crystalline penicillin, 4 million units every 4 hours for 14 days.
Subject(s)
Meningitis/etiology , Neurosyphilis/complications , Thrombosis/etiology , Vasculitis/etiology , Vertebrobasilar Insufficiency/etiology , Alcoholism/complications , Anti-Bacterial Agents/therapeutic use , Combined Modality Therapy , Dysarthria/etiology , Emergencies , Endovascular Procedures , HIV Seronegativity , Humans , Hypertension/complications , Magnetic Resonance Imaging , Male , Meningitis/drug therapy , Middle Aged , Neurosyphilis/drug therapy , Paresis/etiology , Penicillin G/therapeutic use , Stents , Thrombectomy , Thrombosis/diagnostic imaging , Thrombosis/drug therapy , Thrombosis/surgery , Tomography, X-Ray Computed , Vasculitis/drug therapy , Vertebrobasilar Insufficiency/diagnosis , Vertebrobasilar Insufficiency/diagnostic imaging , Vertebrobasilar Insufficiency/surgeryABSTRACT
Se presenta el caso clínico de un paciente de 54 años, negativo para VIH, con enfermedad cerebrovascular por trombosis de la arteria basilar, secundaria a neurosífilis meningovascular. La neurosífilis es el compromiso del sistema nervioso central por Treponema pallidum subespecie pallidum en cualquier estadio de la entidad e incluye las formas asintomáticas y sintomáticas de la infección; sus formas de presentación son diversas y dependen de la localización y la extensión de las lesiones. La recomendación actual es el tratamiento con 4 millones de unidades de penicilina cristalina cada 4 horas por 14 días.
Herein a case is described of a 54-years old patient, HIV negative, with cerebro-vascular disease by basilar artery thrombosis secondary to meningovascular neurosyphilis. Neurosyphilis is the impairment at any stage of the central nervous system by Treponema pallidum subspecies pallidum and includes asymptomatic and symptomatic forms of infection. The presentation can take many forms, depending on the location and extent of tissue damage. The currently recommended treatment is crystalline penicillin, 4 million units every 4 hours for 14 days.
