Internal carotid bilateral occlusion, meningovascular syphilis and AIDS: case report

We report a case of bilateral occlusion of internal carotid arteries, presenting with right hemiparesis and hypoesthesia, associated to meningovascular syphilis in a patient with AIDS. CT scan showed few small hypodense lesions, with a predominance on the left side, and the angiography showed bilate...

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Bibliographic Details
Published inArquivos de neuro-psiquiatria Vol. 57; no. 2A; p. 311
Main Authors Lambrecht, F, De Sá, D S, Koerbel, A, Tamanini, A, Machareth, S L, Scola, R H, Teive, H G, Werneck, L C
Format Journal Article
LanguagePortuguese
Spanish
Published Brazil 01.06.1999
Subjects
Acquired Immunodeficiency Syndrome - complications
Arterial Occlusive Diseases - complications
Arterial Occlusive Diseases - pathology
Carotid Artery Diseases - complications
Carotid Artery Diseases - pathology
Carotid Artery, Internal - diagnostic imaging
Carotid Artery, Internal - pathology
Humans
Male
Middle Aged
Neurosyphilis - complications
Skull - diagnostic imaging
Tomography, X-Ray Computed
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Summary:We report a case of bilateral occlusion of internal carotid arteries, presenting with right hemiparesis and hypoesthesia, associated to meningovascular syphilis in a patient with AIDS. CT scan showed few small hypodense lesions, with a predominance on the left side, and the angiography showed bilateral occlusion of the carotid arteries. The association between syphilis and AIDS is not unusual, but the paucity of symptoms, probably due to a slow and gradual occlusion is not commonly reported.
ISSN:0004-282X
DOI:10.1590/S0004-282X1999000200025