Bilateral internal carotid artery dissection is a rare entity, and its presentation may include cerebral ischemia. We describe the case of a 69-year-old man with ischemic stroke and radiological evidence of intimal flap of both internal carotid arteries suggestive for dissection. During the hospitalization, our patient was found positive for a previous syphilis infection. We conducted a review of the literature, with evidence of a few cases of ischemic stroke presumably related to a prior syphilis. The absence of major cardiovascular risk factors in our patient leads us to believe that an etiopathogenetic link may exist between these two conditions.

作者：Antonio, Marangi；Giuseppe, Moretto；Manuel, Cappellari；Nicola, Micheletti；Giampaolo, Tomelleri；Paolo, Bovi

来源：Neuropsychiatric disease and treatment 2016 年 12卷