A case of refractory meningovascular syphilis followed up by vessel wall imaging

Key Points

• The aim is to detail a case of refractory meningovascular syphilis and its imaging progression.
• MRI and MRA were performed to assess brain and vessel conditions.
• Diagnosis was confirmed through serological tests and cerebrospinal fluid analysis.
• Treatment included antibiotics, anti-platelet agents, steroids, and immunosuppressants.
• Vessel wall imaging monitored vascular inflammation and characteristics over time.
• Initial treatment with penicillin G led to temporary improvement.
• Recurrent symptoms and progressive blood vessel narrowing were observed despite therapy.
• Vessel wall imaging revealed concentric thickening of cerebral artery walls.