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KMID : 1201420130060010040
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Journal of Neurocritical Care
2013 Volume.6 No. 1 p.40 ~ p.42
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Multiple Intracranial Aneurysms from Syphilitic Infection in a Patient with Acute Ischemic Stroke
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Yoo Sang-Won
Ryu Dong-Woo
Shon Young-Min
Kim Beum-Saeng
Cho A-Hyun
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Abstract
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Background: Multiple intracranial aneurysms from syphilitic infection have been rarely reported. In this context, we aimed to report a case of multiple intracranial aneurysms incidentally found in a patient with confirmed syphilis and acute ischemic stroke.
Case Report: A 62-year-old woman presented with right sided weakness and dysarthria. The brain MRI and CT angiography revealed acute left middle cerebral arterial territory infarction and incidentally found multiple intracranial aneurysms. On coronary CT angiography, minimal aneurysmal dilatation of right proximal coronary artery was also observed. Blood tests were positive for rapid plasma reasin (RPR) test and fluorescence treponemal antibody absorption test (FTA-ABS) IgM, whereas the cerebrospinal tests for syphilis were negative. The cerebrospinal fluid tests for syphilis were negative for RPR and FTA-ABS. She was diagnosed with latent syphilis.
Conclusion:This case shows a rare case of central nervous system manifestation from syphilitic infection, presented as multiple intracranial aneurysms which were incidentally found in a patient with acute ischemic stroke.
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KEYWORD
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Intracranial aneurysm, Syphilis, Stroke
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