Other cerebrovascular syphilis
ICD-10 A52.05 is a billable code used to indicate a diagnosis of other cerebrovascular syphilis.
Other cerebrovascular syphilis refers to a rare manifestation of syphilis that affects the cerebrovascular system, leading to complications such as stroke or transient ischemic attacks (TIAs). This condition arises from the systemic spread of Treponema pallidum, the bacterium responsible for syphilis, which can invade the central nervous system (CNS) and cause vascular damage. Patients may present with neurological symptoms, including headaches, seizures, or focal neurological deficits. Diagnosis typically involves serological testing for syphilis, along with imaging studies such as MRI or CT scans to assess cerebrovascular involvement. Treatment primarily consists of antibiotic therapy, usually with penicillin, which is effective in eradicating the infection and preventing further neurological damage. Early detection and treatment are crucial to minimize long-term complications and improve patient outcomes. Given the complexities of syphilis transmission and its potential to affect multiple organ systems, healthcare providers must maintain a high index of suspicion for cerebrovascular syphilis in patients with a history of syphilis and neurological symptoms.
Detailed patient history, serological test results, and treatment plans.
Patients presenting with neurological symptoms and a history of syphilis.
Need for interdisciplinary communication with neurology for accurate diagnosis.
Neurological examination findings, imaging results, and treatment response.
Patients with unexplained strokes or TIAs and a history of syphilis.
Awareness of syphilis as a potential cause of cerebrovascular events.
Used when testing for syphilis in patients with neurological symptoms.
Document the reason for testing and results.
Infectious disease specialists should ensure comprehensive testing.
Common symptoms include headaches, seizures, focal neurological deficits, and altered mental status, often presenting in patients with a history of syphilis.
