Abstract

Meningovascular neurosyphilis, a rare complication of tertiary syphilis, poses significant challenges in diagnosis and management, particularly in individuals co-infected with HIV. We present a case of a patient with HIV who developed basilar artery thrombosis secondary to meningovascular neurosyphilis. Through this case, we highlight the importance of considering neurosyphilis in the differential diagnosis of stroke in HIV-infected patients and underscore the necessity of timely diagnosis and appropriate treatment to prevent devastating neurological outcomes.