Abstract:
Background. 40% of patients with syphilis can be affected by the spirochetal
invasion of the central nervous system. Neurosyphilis can be
presented with stroke signs in 14,09% of patients, and the
misdiagnosis rate in such cases can reach up to 80,95% [1-4].
Materials and methods. A case of a 74-year-old patient with ischemic stroke due to
meningovascular syphilis will be reported.
Objective. Presentation of a diagnostic pathway in case of suspected
stroke due to neurosyphilis, with an evaluation of the
clinic-imagistic correlation.
Results. The patient was admitted to the hospital, with
sudden onset of speech disturbances, right-side
hemiparesis, and neck rigidity.
Conclusions.
Neurosyphilis can mimic acute ischemic stroke, presented by
similar clinical signs and neuroimaging findings; the serological
tests are crucial for diagnosis. Due to the fact that therapeutic
approaches differ in case of neurosyphilis, DD is very important.
