Meningovascular Syphilis Presenting as Acute Ischemic Stroke in an HIV + Young Adult: A Case Report and a Brief Literature Review

Figures & data

Figure 1 (A and B) There is diffuse swelling and T2/FLAIR hyperintensity of left insular cortex, head of caudate nucleus, lentiform nucleus, lateral parts of left frontoparietal lobes and superior part of left temporal lobe (asterisk in A and B). They have marked restricted diffusion (not displayed here), which is indicative of left MCA cortical and lenticulostriatal territory acute infarction. (C and D) pre- and post-contrast CT studies done 8 days after the MRI was taken. Diffuse low attenuation is observed and a new focus of hypodensity is noted involving the medial part of occipitotemporal lobe (thick arrow in C and D) suggestive of right PCA territory acute infarction. (E) The middle cerebral artery segments and its branches showed normal caliber, smooth wall, and patent lumen (thin arrow in E).

Data Sharing Statement

All data sets on which the conclusions of the case report based are available from the corresponding author on reasonable request.