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[Infarction of the pons, neurosyphilis and HIV infection]
R Labauge1, M Pagès, D Tourniaire
1Clinique Neurologique, Service de Neurologie, Montpellier.
Revue Neurologique
|January 1, 1991
Abstract:
A 31-year old patient presented a right hemiparesis related to a left basis pontis infarction. Laboratory investigations revealed both neurosyphilis and HIV infection. The patient was treated with two courses of penicillin and recovered from hemiparesis. The occurrence of strokes due to syphilitic arteritis in AIDS is emphasized.
Insights
This case study highlights a stroke in a patient with both neurosyphilis and HIV infection. Treatment with penicillin successfully resolved the hemiparesis, emphasizing the link between syphilitic arteritis and AIDS-related strokes.
Area of Science:
- Neurology
- Infectious Diseases
- Vascular Neurology
Background:
- Neurosyphilis is a re-emerging infectious disease caused by Treponema pallidum.
- Human Immunodeficiency Virus (HIV) infection is a significant risk factor for various neurological complications.
- Syphilitic arteritis can lead to cerebrovascular events, including ischemic stroke.
Observation:
- A 31-year-old patient presented with right hemiparesis, indicative of a stroke.
- Cerebral infarction was localized to the left basis pontis.
- Laboratory results confirmed co-infection with neurosyphilis and HIV.
Findings:
- The patient received two courses of penicillin therapy.
- Complete recovery from hemiparesis was observed post-treatment.
- The clinical presentation underscores the association between syphilitic arteritis and stroke in the context of HIV/AIDS.
Implications:
- Highlights the importance of considering neurosyphilis in stroke patients, particularly those with HIV.
- Emphasizes the potential for syphilitic arteritis to precipitate strokes in individuals with Acquired Immunodeficiency Syndrome (AIDS).
- Reinforces the efficacy of penicillin in managing neurosyphilis-related cerebrovascular complications.