Syphilitic arteritis involving the origin of the cervical internal carotid artery.
We report a case of meningovascular syphilis in a young adult woman presenting with left hemiparesis due to near occlusion of proximal cervical internal carotid with subacute middle cerebral artery territory infarction. Diagnosis was made on the basis of positive serum, and spinal fluid serology for syphilis, carotid Doppler, and magnetic resonance angiography, as well as improvement after intravenous penicillin therapy. In this case report, the imaging findings were described and related literature was reviewed.
Al-Shammari
Noufa E
NE
Department of Radiology, Al-Sabah Hospital, Ministry of Health Kuwait.
El-Beltagi
Ahmed H
AH
Al-Far
Sayed A
SA
Abdel-Raouf
Yasser M
YM
D000328:Adult; D001921:Brain / Q000000981:diagnostic imaging / Q000473:pathology; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000473:pathology*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D013589:Syphilis, Cardiovascular / Q000000981:diagnostic imaging / Q000473:pathology*; D014057:Tomography, X-Ray Computed / Q000379:methods; D018615:Ultrasonography, Doppler, Color / Q000379:methods