[Cerebral ischemic strokes in young patients with neurosyphilis]

In split of a dramatic increase of syphilis incidence over the last time, neurosyphilis cases are reported relatively rare. The data on ischemic stroke of syphilis origin in 5 patients (3 males and 2 females, aged 35-43 years) are presented. A diagnosis was verified on the basis of clinical and MRT data and the results of blood and spinal fluid serological reactions. The patients had mild and moderate headache (5), movement (5) and sensitivity (3) disorders, membrane syndrome (2), hemianopsia (2), coma (1). Because of the absence of anamnesis data on syphilis survived, recognition of stroke origin was delayed and established only after positive serum and liquor tests. One patient died of multifocal brain lesion, 4 patients discharged from the hospital had differently pronounced movement disorders.