Accidente cerebrovascular isquémico como presentación de neurosífilis meningovascular en pacientes inmunocompetentes

Carlos Javier Arequipa Loachamin; Robert Gonzalo Salinas Suikouski

doi:10.36015/cambios.v22.n2.2023.693

Carlos Javier Arequipa Loachamin Medicina Interna
Robert Gonzalo Salinas Suikouski Neurosalud Munay, Área de Neurología. El Coca-Ecuador https://orcid.org/0000-0003-2335-9000

DOI: https://doi.org/10.36015/cambios.v22.n2.2023.693

Palabras clave: Sífilis, Neurosífilis/tratamiento farmacológico, Accidente Cerebrovascular Isquémico, Líquido Cefalorraquídeo, Penicilina G Procaína, Ceftriaxona

Resumen

INTRODUCCIÓN: La neurosífilis representa la infección del sistema nervioso central por la bacteria Treponema pallidum. Se han descrito complicaciones parenquimatosas y meningovasculares. La enfermedad cerebrovascular isquémica, puede ser la única manifestación de la neurosífilis y puede ocurrir en cualquier fase de la enfermedad.

Un tratamiento oportuno lleva a una adecuada recuperación y prevención de complicaciones potencialmente mortales e incapacitantes. OBJETIVO: proporcionar una fuente de información actualizada como medio de consulta rápida para personal médico que trata a pacientes con neurosífilis. METODOLOGÍA: Estudio de revisión de 44 artículos y selección de 33 encontradas en la base de datos del motor PUBMED,
Biblioteca Cochrane, portal BVS Ecuador, datos publicados en tesis de la Universidad Central del Ecuador y Pontificia Universidad Católica del Ecuador, cuyas fechas de publicación corresponden en su mayoría a los últimos 5 años, y pocos artículos de años previos que por su relevancia se mantuvieron, el criterio de búsqueda empleado consistió en documentos que contenían datos sobre epidemiología, fisiopatología,
clínica, diagnóstico y tratamiento de enfermedad cerebrovascular isquémica como presentación de neurosífilis. CONCLUSIÓN: La sospecha clínica de neurosífilis en pacientes jóvenes con antecedente epidemiológico orienta a un diagnóstico oportuno y disminuye la mortalidad y complicaciones secundarias a un infarto cerebral.

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Accidente cerebrovascular isquémico como presentación de neurosífilis meningovascular en pacientes inmunocompetentes

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