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The related main theme: A. Stroke and Cerebral vascular disorders

神經性梅毒及人類免疫缺乏病毒共同感染引起之繼發性毛毛樣腦血管病

A patient of moyamoya syndrome associated with HIV and neurosyphilis coinfection

Authers:

隋元, MD 1 , 
Yuan  Sui, MD 1 , 
1 衛生福利部雙和醫院
1 Shuang Ho Hospital,Ministry of Health and Welfare
Corresponding Author:

黃立楷
Li Kai  Huang , MD
衛生福利部雙和醫院
Shuang Ho Hospital,Ministry of Health and Welfare

keywords: moyamoya, HIV, neurosyphilis, sex-transmitted disease
Abstract for case report

CASE REPORT:
We presented a patient with neurosyphilis and HIV co-infection, associated with recurrent infarcts over right middle cerebral artery and left posterior cerebral artery territory infarcts within a two-year interval, and an incident finding of moyamoya-like vasculopathy.

DISCUSSION:
There are several acquired differential diagnosis of moyamoya disease. Including autoimmune vasculitis, hematologic conditions , delayed complications of cranial irradiation, viral or bacterial infections . However, viral infections such as VZV and HIV vasculopathy may be easily overlooked. Therefore, we launched a question: In the era of advanced public health politics and prevalent antimicrobials. Could we still underestimated the significance of sex-transmitted disease on the central nervous system ?


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