To present a 29‐year‐old immunocompetent patient with neurosyphilitic changes characterized by multiple acute ischemic brain strokes along with significant narrowing of several large intracranial arteries. Ceftriaxone treatment for 14 days followed by benzathine benzylpenicillin weekly for additional 3 weeks, showed improvement in meningovascular changes.
Stroke related adult neuropsychiatric syndromes can be classified according to four axes: behavior or personality disorders, disorders of the perception identification of the self, other people, places, and time, cognitive disintegration (acute confusional state) and affective or mood disorders. Although cognitive dysfunctions or mood and affect disorders are very common after stroke and represent a very important factor in the recovery and rehabilitation, we will give short overview of rare behaviour or personality disorders related to stroke because we emphasize the need for a good knowledge of the these syndromes, in order to make valid diagnosis and start targeted etiological treatment.
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