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The radiologic findings in three cases of meningovascular syphilis are presented. Angiography demonstrated varying degrees of narrowing and ectasia of the supraclinoid carotid, basilar, and proximal anterior and middle cerebral arteries, as well as distal branches. Computed tomography (CT) showed multifocal infarction with variable enhancement. Similarly, in the one case studied with magnetic resonance (MR), several regions of high signal intensity on T2-weighted sequences were found, whi ch were compatible with foci of ischemia. Although the radiologic findings are nonspecific, the diagnosis of meningovascular syphilis should be considered in patients with vasculitis of uncertain etiology. |
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angiography,cerebral
arteritides
basal ganglia,infarction
basal ganglia,lesion of
CAT scan
CAT scan,abnormal
central nervous system,infection of
cerebral arteries
cerebrovascular accident
cerebrovascular accident,multiple
emotional lability
hydrocephalus,transient
meningovascular syphilis
MRI
MRI,abnormal
MRI,CAT scan compared to
MRI,high signal foci on
neurosyphilis
personality change
psychiatric problems in neurologic disorders
spirochete infection
syphilis,diagnosis and treatment
syphilis,neurologic complications with
white matter disease
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