Abstract
Objective: To report a case of a young patient diagnosed with stroke due to tertiary syphilis. Case details: Female patient, 20 years old, with a history of hemicranial headache on the left with progressive intensity, sudden onset of divergent strabismus, eyelid ptosis and diplopia on the left, in addition to hemiparesis on the right. On physical examination, she was alert, oriented, with paralysis of the third cranial nerve in the skeleton, hemiparesis in the head with a positive babinski sign on that side. Brain magnetic resonance imaging was requested, identifying the area of ischemia in the brainstem region, consolidating diagnosing the ischemic stroke. After investigating the etiology, correlation diagnosis of ischemic stroke with cerebral vasculitis related to syphilis. The patient received treatment with crystalline penicillin, obtained clinical time and was discharged from the hospital. Final considerations: A tertiary syphilis can be a primary etiology for the development of stroke in young people, and it is essential to request serology for syphilis in the etiological investigation of these cases, once the diagnosis and management are carried out in an appropriate and early manner, conducive to the resolution and clinical maintenance gives quality of life to the patient