Abstract
A 41-year-old woman had a mild confusional state after an assault. She reported a history of sexual promiscuity, and subsequent testing revealed a serum rapid plasma reagin titer of 1:64, a cerebral spinal fluid venereal disease research laboratory titer of 1:8, and fluorescent treponemal antibody absorption reactive in both serum and CSF. Neurobehavioral testing revealed only subtle deficits in attention. MRI (T1 and T2 weighted of the brain), and EEG were normal. SPECT showed areas of hypoperfusion in a patchy distribution involving the parietal lobes bilaterally. This pattern is suggestive of meningovasculitis
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