Tag Archives: ischemic stroke

Neurosyphilis Masquerading as Stroke in an 84-year-old

Cristina Bologa1, Catalina Lionte1, Diana Halit2, Catalina Luca3

1 Internal Medicine Department, 2nd Internal Medicine Clinic,”Sf. Spiridon” Clinical County Emergency Hospital, “Gr. T. Popa”University of Medicine, Iasi, Romania
2 Neurology Department, “Prof. Dr. N. Oblu” Clinical Emergency Hospital, Iasi, Romania
3 Infectious Disease Department, “Sf. Parascheva” Clinical Hospital, “Gr. T. Popa” University of Medicine, Iasi, Romania

DOI: 10.1515/jccm-2017-0009

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.

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Intra-arterial Thrombolysis in Second Trimester of Pregnancy. A Case Report

Endre Pongrácz1, Szabolcs Farkas2, Miklós Dajka3, László Csiba2

1 Department of Neurology, Hetényi Géza Hospital,  H-5001 Szolnok, Tószegi street 21, Hungary
2 Department of Neurology, University of Debrecen, H-4012 Debrecen, Móricz Zsigmond street, no.22, Hungary
3 Department of Radiology, Avas Medical Centre LLC, H-5001 Szolnok, Tószegi street 21, Hungary

DOI: 10.1515/jccm-2015-0005

Here we present a successful intra-arterial thrombolysis performed in the second trimester of pregnancy (21 weeks). The intervention resulted in complete recanalization of the occluded right middle cerebral artery and favourable clinical and gestational outcome. Together with cases described in respective medical literature our report affirms that in pregnancy acute ischemic stroke could be treated effectively applying intra-arterial thrombolysis (using rt-PA). This therapy could provide opportunity to help in such desperate situations.

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