Isolated middle cerebral artery stenosis caused by syphilitic vasculitis

We report the case of a patient with cerebral infraction and severe isolated middle cerebral artery (MCA) stenosis, who was evaluated by serial high-resolution vessel wall magnetic resonance imaging (HR-VWI). The follow-up HR-VWI showed that concentric parietal thickening and contrast enhancement of the arterial walls were found in the patient, and the complete loss of contrast enhancement with slight residual stenosis 6 months after IV penicillin G treatment. HR-VWI is an important diagnostic tool for SV and could serve as a biomarker for assessing the response to anti-syphilis treatment in the future.
Source: Sexual Health - Category: Sexual Medicine Authors: Source Type: research