title: A case report and DSA findings of cerebral hemorrhage caused by syphilitic vasculitis.
abstract: Syphilis is now rare and easily misdiagnosed because of the wide use of antibiotics in the clinical. We report a case of cerebral hemorrhage in a patient with hypertension who was first diagnosed as hypertensive cerebral hemorrhage. However, treponema pallidum particle agglutination and rapid plasma regain tests of cerebrospinal fluid revealed the existence of neurosyphilis. Interestingly, digital subtraction angiography (DSA) showed severe stenosis in both middle cerebral arteries and right anterior cerebral artery. The case reminded us to pay attention to syphilitic vasculitis in patients with cryptogenic stroke. DSA sometimes may play a critical role in differential diagnosis of neurosyphilis.
authors.affiliation: Department of Neurology, The Second Affiliated Hospital of Soochow University, No. 1055 Sanxiang Road, Suzhou City, 215000, Jiangsu Province, People's Republic of China.
authors.forename: Xia
authors.initials: X
authors.lastname: Zhang
authors.forename: Guo-Dong
authors.initials: GD
authors.lastname: Xiao
authors.forename: Xing-Shun
authors.initials: XS
authors.lastname: Xu
authors.forename: Chun-Yuan
authors.initials: CY
authors.lastname: Zhang
authors.forename: Chun-Feng
authors.initials: CF
authors.lastname: Liu
authors.forename: Yong-Jun
authors.initials: YJ
authors.lastname: Cao
mesh_terms: D015901:Angiography, Digital Subtraction / Q000379:methods; D002543:Cerebral Hemorrhage / Q000000981:diagnostic imaging* / Q000209:etiology; D005260:Female; D006801:Humans; D008875:Middle Aged; D009494:Neurosyphilis / Q000150:complications / Q000000981:diagnostic imaging*; D020293:Vasculitis, Central Nervous System / Q000150:complications / Q000000981:diagnostic imaging*