Syphilitic cerebral arteritis
ICD-10 A52.04 is a billable code used to indicate a diagnosis of syphilitic cerebral arteritis.
Syphilitic cerebral arteritis is a rare but serious complication of syphilis, a sexually transmitted infection caused by the bacterium Treponema pallidum. This condition occurs when the infection leads to inflammation of the cerebral arteries, which can result in ischemic strokes or other neurological deficits. Patients may present with symptoms such as headaches, seizures, cognitive changes, and focal neurological deficits. Diagnosis typically involves a combination of clinical evaluation, serological testing for syphilis, and imaging studies such as MRI or CT scans to assess for vascular changes. Treatment primarily involves the administration of antibiotics, particularly penicillin, to eradicate the underlying syphilis infection, along with supportive care for neurological symptoms. Early diagnosis and treatment are crucial to prevent long-term complications and improve patient outcomes.
Detailed neurological examination findings, imaging results, and treatment plans.
Patients presenting with stroke-like symptoms or cognitive impairment.
Ensure clear documentation of the relationship between syphilis and neurological symptoms.
Serological test results, treatment regimens, and follow-up care.
Patients with a history of syphilis presenting with new neurological symptoms.
Document the treatment response and any complications related to syphilis.
Used during follow-up visits for patients with syphilitic cerebral arteritis.
Document history, examination, and medical decision-making.
Neurology and Infectious Disease specialists should ensure comprehensive documentation.
Common symptoms include headaches, seizures, cognitive changes, and focal neurological deficits such as weakness or sensory loss.
Diagnosis is made through clinical evaluation, serological testing for syphilis, and imaging studies like MRI or CT scans to assess for vascular changes.
Treatment primarily involves high-dose penicillin to eradicate the syphilis infection, along with supportive care for neurological symptoms.