Aupy M, Benetier M P, Laporte A, Maleville J, Henry P
Sem Hop. 1982 May 6;58(18):1101-6.
Among forty-six patients with neurosyphilis, seen over a ten-year period, six had features highly suggestive of syphilitic cerebral vascularitis. The carotid distribution was involved in five patients and the posterior cerebral artery in one. As exemplified by these six observations, syphilitic arteritis should be considered when an ischemic stroke occurs with no apparent etiology. The fluorescent treponemal antibody adsorbed test (FTA-ABS) in the cerebrospinal fluid is the most reliable and the most specific laboratory test for the diagnosis of neurosyphilis.
在十年间诊治的46例神经梅毒患者中,有6例具有高度提示梅毒性脑血管炎的特征。5例患者的颈动脉分布区受累,1例患者的大脑后动脉受累。正如这6例观察所示,当发生无明显病因的缺血性卒中时,应考虑梅毒性动脉炎。脑脊液荧光密螺旋体抗体吸附试验(FTA-ABS)是诊断神经梅毒最可靠、最特异的实验室检查。