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KMID : 0858420110130010031
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Korean Journal of Stroke
2011 Volume.13 No. 1 p.31 ~ p.33
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Multiple Cerebral Infarctions Associated with Syphilitic Aortitis
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Park Min-Gyu
Oh Se-Jin
Park Kyung-Pil
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Abstract
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Syphilis is a rare cause of aortic inflammatory lesion and stroke. A 65-year-old woman presented with sudden onset of right hemiplegia and hemianopsia. Magnetic Resonance (MR) imaging of the brain revealed bihemispheric cerebral infarctions. Echocardiography demonstrated aortic regurgitation, pericardial effusion, and dilatation of the aortic root. MR aortography showed intramural hematoma in dilated ascending and descending aorta. The serum Venereal Disease Research Laboratory and Treponema Pal-lidum Haemagglutination test were positive. The level of protein in cerebrospinal fluid was increased. After treatment with penicillin for three weeks, her neurological status progressively improved. As syphilis can lead to aortitis and aortic dissection, it should be considered as a treatable cause of stroke.
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KEYWORD
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Cerebral infarction, Syphilis, Aortitis, Dissection
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