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Stroke secondary to syphilisDefinition Stroke is a possible complication of syphilis infection. The stroke destroys blood vessels that supply the brain and results in a loss of brain function. Causes, incidence, and risk factors Stroke caused by syphilis occurs as a life-threatening complication of long-standing syphilis infection. The infection causes inflammation and blockage of the arteries which supply the brain. Decreased blood flow causes brain tissue damage from lack of oxygen (ischemia) and death of the tissues (infarction). Risks include tertiary syphilis infection. Symptoms Prodromal (early) symptoms may precede the symptoms of stroke for about 1 to 4 weeks. These are:
Signs and tests A known history of syphilis may help to indicate syphilis as the cause of the stroke. Tests may be used to confirm syphilis as the cause of the stroke, including:
Treatment Symptoms are treated as with any stroke. Physical therapy, occupational therapy and other rehabilitation measures may be needed. Antibiotics are used in high doses to treat the syphilis infection. Analgesics may be needed to control severe headaches. Expectations (prognosis) The outcome depends on the extent of damage to the brain, the presence of other complications of late syphilis, and other factors. Complications Calling your health care provider Go to the emergency room or call the local emergency number (such as 911) if you have any symptoms of impending stroke. Prevention Stroke secondary to syphilis may be prevented by adequate treatment and follow-up for primary syphilis and secondary syphilis. Preventing the development of latent and tertiary syphilis prevents progressive damage, not only to blood vessels, but to the brain, spinal cord, bones, heart, and other tissues. Illustrations
Page Content: Syphilitic stroke |
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