Neurosyphilis with Mesiotemporal Magnetic Resonance Imaging Abnormalities

被引：24
|
作者：
Hama, Kiwa [1 ]
Ishiguchi, Hiroshi [1 ]
Tuji, Tomikimi [2 ]
Miwa, Hideto [1 ]
Kondo, Tomoyoshi [1 ]
机构：
[1] Wakayama Med Univ, Dept Neurol, Wakayama, Japan
[2] Wakayama Med Univ, Dept Psychiat, Wakayama, Japan
来源：
INTERNAL MEDICINE | 2008年 / 47卷 / 20期
关键词：
neurosyphilis; mesiotemporal region; limbic structure; paraneoplastic limbic encephalitis; herpes simplex encephalopathy; magnetic resonance imaging;
D O I：
10.2169/internalmedicine.47.0983
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
We describe a patient with mesial temporal T2-weighted image hyperintensity on magnetic resonance imaging that mimicked paraneoplastic limbic encephalitis. The patient showed pupillary abnormalities suggestive of a diagnosis of neurosyphilis, and the diagnosis was supported by the results of a serum Treponema pallidum hemagglutination assay (TPHA) and cerebrospinal fluid examination. Making a diagnosis of neurosyphilis is occasionally difficult because of the variety of clinical and imaging findings. Appropriate diagnosis and commencing adequate treatment are needed for a good prognosis; thus, neurosyphilis should be included in the differential diagnosis of mesiotemporal magnetic resonance imaging abnormalities.
引用
收藏
页码：1813 / 1817
页数：5
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