A woman in her 50s was evaluated in an outpatient memory clinic and was found to have had progressive cognitive impairment for at least 1 year, based on a Mini-Mental State Examination score of 20 out of 30 possible points, with a poor verbal fluency score of 4, and a reduced delayed recall (5 of 10 drawings). Her family observed that she developed a progressive commitment to the functional activities of daily living. During her life, she had arterial hypertension, but it was controlled. Laboratory and neuroimaging investigations were being scheduled at ambulatory care; however, she was admitted to the emergency department with a sudden neurologic deficit. The neurologic examination identified hemiparesis and tactile hypoesthesia on her left side.
Visoná de Figueiredo NS, Moraes Angst DB, Mendes LS, Machado MF, Guimarães Rocha MS, Dozzi Brucki SM. Basilar Artery Aneurysm in a Woman With Syphilis. JAMA Neurol. 2015;72(6):720-721. doi:10.1001/jamaneurol.2015.0154