An unusual presentation of neurosyphilis as a probable migraine

We describe a case which initially presented as persistent and untreatable probable migraine, which was subsequently diagnosed as neurosyphilis during the clinical evaluation. All symptoms regressed after appropriate treatment. We suggest that the possibility of neurosyphilis should be taken into ac...

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Bibliographic Details
Published in:Journal of headache and pain 2010-12, Vol.11 (6), p.543-545
Main Authors: Kararizou, Evangelia, Naoumis, Dimitrios, Gkiatas, Konstantinos, Kapaki, Elisabeth, Vassilopoulos, Demetrios
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Brief Report
Cardiovascular system
Diagnosis, Differential
Headache Disorders - diagnosis
Headache Disorders - drug therapy
Headache Disorders - microbiology
Humans
Internal Medicine
Male
Medical sciences
Medicine
Medicine & Public Health
Migraine
Migraine Disorders - diagnosis
Migraine Disorders - drug therapy
Migraine Disorders - microbiology
Neurology
Neuroses
Neurosyphilis - complications
Neurosyphilis - diagnosis
Neurosyphilis - drug therapy
Pain Medicine
Pharmacology. Drug treatments
Vascular diseases and vascular malformations of the nervous system
Vasodilator agents. Cerebral vasodilators
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Description
Summary:We describe a case which initially presented as persistent and untreatable probable migraine, which was subsequently diagnosed as neurosyphilis during the clinical evaluation. All symptoms regressed after appropriate treatment. We suggest that the possibility of neurosyphilis should be taken into account in the differential diagnosis of a persistent headache which does not respond to medication.
ISSN:1129-2369
1129-2377
DOI:10.1007/s10194-010-0254-8