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Case Reports
. 2017 Apr;7(2):e12-e15.
doi: 10.1212/CPJ.0000000000000274.

Role of MRI in early detection of stroke secondary to neurosyphilis in an elderly patient coinfected with HIV

Aintzine Ruisánchez  1 , Iñigo Vicente-Olabarria  1 , Ines Escalza-Cortina  1 , David Anguizola  1 , Ines García-Gorostiaga  1 , Marian Gomez-Beldarrain  1 , Juan Carlos Garcia-Monco  1
Affiliations
Case Reports

Role of MRI in early detection of stroke secondary to neurosyphilis in an elderly patient coinfected with HIV

Aintzine Ruisánchez et al. Neurol Clin Pract. 2017 Apr.
No abstract available

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Figures

Figure 1.
Figure 1.. Diffusion-weighted brain MRI
Brain MRI (diffusion sequence) shows an acute ischemic lesion involving the paramedian region of the pons (A). MRI angiography does not disclose any arterial stenosis of the supra-aortic vessels (B; the arrow signals the basilar artery), but contrast-enhanced MRI sequences show a long, concentric enhancement of the basilar artery wall (C, arrow), consistent with vasculitis.
Figure 2.
Figure 2.. Contrast-enhanced brain MRI
Contrast-enhanced MRI before (left) and 3 months after therapy (right) shows the resolution of the arterial enhancement (arrow pointing at the basilar artery).
See this image and copyright information in PMC

References

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    1. Hooshmand H, Escobar MR, Kopf SW. Neurosyphilis: a study of 241 patients. JAMA 1972;219:726–729. - PubMed
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    1. Gutierrez J. Specific conditions and stroke. In: Gortta JC, Albers GW, Broderick JP, et al. eds. Stroke: Pathophysiology, Diagnosis, and Management. Philadelphia: Elsevier; 2016:619–631.

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