Case report. Neurosyphilis Masquerading as Stroke in an 84-year-old

Abstract

The case of an 84 years old woman with uncharacteristic neurologic and cognitive symptoms, suspected of ischemic stroke is presented. Following an extensive assessment in the departments of neurology and internal medicine, the unusual aetiology of stroke was identified as meningovascular neurosyphilis. The patient fully recovered after antibiotic therapy. To our knowledge, this the eldest patient with tertiary neurosyphilis reported in the literature.

Keywords

• neurosyphilis
• ischemic stroke
• elderly
• treatment