Johns D R, Tierney M, Parker S W
Arch Neurol. 1987 Oct;44(10):1062-5. doi: 10.1001/archneur.1987.00520220060018.
Two young male homosexuals developed prodromal syndrome followed by penicillin-responsive meningitis and the acute onset of pure motor hemiplegia. The clinical and laboratory features are consistent with meningovascular neurosyphilis. Basis pontis infarctions were subsequently demonstrated on magnetic resonance imaging scans. To our knowledge, this is the first description of syphilitic arteritis as a pathophysiologic basis for pure motor hemiplegia.
两名年轻男性同性恋者出现前驱综合征，随后发生对青霉素敏感的脑膜炎，并急性起病出现纯运动性偏瘫。临床和实验室特征符合脑膜血管性神经梅毒。随后的磁共振成像扫描显示脑桥基底部梗死。据我们所知，这是首次将梅毒性动脉炎描述为纯运动性偏瘫的病理生理基础。
