[Cerebral venous thrombosis revealing neurosyphilis]. / Une thrombose veineuse cérébrale révélant une neurosyphilis.
Rev Med Interne
; 43(2): 116-119, 2022 Feb.
Article
in Fr
| MEDLINE
| ID: mdl-34863597
ABSTRACT
INTRODUCTION:
Syphilis is a bacterial infection which is increasing in France. Neurosyphilis is a rare manifestation of syphilis, mainly involving the meninges and the blood vessels. It is a rare cause of cerebral vascular stroke. Venous thrombosis of syphilitic origin is rarely described. OBSERVATION We reported a case of a fifty-year-old patient hospitalized for bilateral non-painful decreased visual acuity with headache. The CT scan showed cerebral venous thrombosis from the right lateral sinus to the jugular gulf. Patient presented a bilateral papillar oedema on the ocular fundus. Lumbar puncture showed lymphocytic meningitis with blood and CSF serology suggestive of neurosyphilis. The patient received antibiotic therapy with penicillin G for 14days with curative anticoagulation for six months. The evolution was favorable.CONCLUSION:
Cerebral venous thrombosis in neurosyphilis is a poorly described entity. This case report confirms the status of great simulator of syphilis. In the context of its worldwide recrudescence, syphilis must be evoked in front of an unexplained neurological disorder.Key words
Full text:
1
Collection:
01-internacional
Health context:
3_ND
Database:
MEDLINE
Main subject:
Syphilis
/
Intracranial Thrombosis
/
Nervous System Diseases
/
Neurosyphilis
Type of study:
Diagnostic_studies
/
Etiology_studies
Limits:
Humans
/
Middle aged
Language:
Fr
Journal:
Rev Med Interne
Year:
2022
Document type:
Article