[1]刘佳琪,周翠萍,孙阳,等.核磁共振表现为颞叶内侧及海马异常信号的神经梅毒1例及相关文献复习[J].卒中与神经疾病杂志,2018,25(05):562-566+571.[doi:10.3969/j.issn.1007-0478.2018.05.017]
　Liu Jiaqi,Zhou Cuiping,Sun Yang,et al.Mesiotemporal changes on magnetic resonance imaging in neurosyphilis:A report of a case and review of literature[J].Stroke and Nervous Diseases,2018,25(05):562-566+571.[doi:10.3969/j.issn.1007-0478.2018.05.017]
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核磁共振表现为颞叶内侧及海马异常信号的神经梅毒1例及相关文献复习()
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《卒中与神经疾病》杂志[ISSN:1007-0478/CN:42-1402/R]

卷:
第25卷
期数:
2018年05期
页码:
562-566+571
栏目:
论 著
出版日期:
2018-10-26

文章信息/Info

Title:
Mesiotemporal changes on magnetic resonance imaging in neurosyphilis:A report of a case and review of literature
文章编号:
1007-0478(2018)05-0562-06
作者:
刘佳琪; 周翠萍; 孙阳; 刘芳
100016 北京,华信医院[刘佳琪 周翠萍 孙阳 刘芳(通信作者)]
Author(s):
Liu Jiaqi; Zhou Cuiping; Sun Yang; et al.
Department of Neurology,Beijing Huaxin Hospital(The First Hospital of Tsinghua University),Beijing 100016
关键词:
神经梅毒 脑炎 影像学 颞叶内侧
分类号:
R759.1
DOI:
10.3969/j.issn.1007-0478.2018.05.017
文献标志码:
A
摘要:
目的 探讨核磁共振表现颞叶内侧信号异常的神经梅毒的临床特征。方法 通过总结本院近期收治的1例及国内外文献报道确诊的28例核磁共振表现为颞叶内侧信号异常患者的临床资料,分析该病的临床特点。结果 患者主要表现为认知障碍、癫痫、精神行为异常等。影像学检查与边缘叶脑炎典型征象无明显差别。血清及CSF梅毒特异性检查阳性。结论 神经梅毒与边缘叶脑炎有相似临床表现及影像学征象,确诊需检查梅毒特异性抗体。尽早青霉素或头孢曲松治疗可显著改善预后。
Abstract:
ObjectiveTo explore the clinical features of neurosyphilis with mesiotemporal changes on magnetic resonance imaging.Methods By analyzing one recent case of neurosyphilis with mesiotemporal changes on magnetic resonance imaging in our hospital and 28 cases reported in the literature,the clinical features of the disease were summarized.Results The clinical manifestations of the disease were cognitive impairment,psychiatric disorders and seizures.The MRI changes seen in limbic-like neurosyphilis and neurosyphilis were indistinguishable.Treponemal and nontreponemal test in serum and CSF was positive.Conclusion Neurosyphilis and limbic-like encephalitis had similar clinical features and sign of MRI,a positive treponemal and nontreponemal test in serum and CSF was required to make the diagnosis.The early treatment of penicillin or ceftriaxone could significantly improve the prognosis.

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更新日期/Last Update: 2018-10-20