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January 1989

Angiography in Pure Motor Hemiparesis due to Meningovascular Syphilis

Author Affiliations

Department of Neurology University of Colorado School of Medicine 4200 E Ninth Ave Denver, CO 80262

Arch Neurol. 1989;46(1):10-11. doi:10.1001/archneur.1989.00520370012004

To the Editor.  —We read with interest the report by Johns et al1 about pure motor hemiplegia (PMH) in two individuals with meningovascular neurosyphilis (MVNS), neither of whom had cerebral angiography. We have recently seen a similar individual presenting with PMH who was later diagnosed as having MVNS as the cause of his stroke, and who underwent cerebral angiography early in his clinical course.

Report of a Case.  —A 29-year-old left-handed man awoke two days prior to admission with right-sided weakness. The weakness gradually became worse over the next 48 hours, so that he had difficulty in walking. He had a dull, constant, generalized headache that he related to a minor head injury incurred approximately two weeks earlier. The patient's friends and relatives stated that he had been complaining of fatigue for six months, and that he had had night sweats. Two months previously, he had been treated for

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