CEREBROVASCULAR NEUROSYPHILIS AGAINST THE BACKDROP OF CONGENITAL CEREBRAL ARTERY DEFICIENCY

Abstract

The authors analyzed the case histories of 3 954 patients aged 15–86 years with varying degrees of neurological deficit who had received treatment from 2010 to 2020 in the city neurology department. All patients underwent general clinical and neurological examinations, electrocardiography, clinical laboratory and biochemical tests and, of course, the classical Wasserman test. In addition, ophthalmological, immunological, neurophysiological, neuropsychological and radiological studies were performed. We present a clinical example of early meningovascular neurosyphilis against the backdrop of right hemispheric cerebrovascular accident (CVA). Difficult diagnosing due to the bias of data on CVA, the peculiarities of the disease course and the cumulative neuroimaging data allow the authors to assume a clear dependence of meningovascular syphilis of the nervous system on constitutional variations and/or anomalies of the arteries of the circle of Willis. Constitutional variations and/or anomalies in the development of human cerebral arteries are considered as an additional risk factor for CVA syndrome during infectious processes of the brain with other things being equal.