神经梅毒颞叶内侧损害的MRI表现  

Magnetic resonance imaging findings of mesiotemporal lobe in the patients with neurosyphilis

作　　者：王海燕[1] 沈光莉[1] 岳云龙[2] 

机构地区：[1]首都医科大学附属北京世纪坛医院神经内科,北京100038 [2]首都医科大学附属北京世纪坛医院影像科,北京100038

出　　处：《医学影像学杂志》2013年第8期1155-1157,共3页Journal of Medical Imaging

摘　　要：目的探讨颞叶内侧损害的神经梅毒患者的MRI表现,以提高对该病的认识。方法报道5例表现为颞叶内侧损害的、经临床证实的神经梅毒患者的临床资料及MRI表现。结果本组神经梅毒患者临床表现为认知功能障碍及精神障碍。5例表现为单侧或双侧颞叶内侧长T2及FLAIR高信号,2例DWI像呈高信号,4例伴不同程度脑萎缩。经过正规抗梅毒治疗后症状好转。结论 MRI表现为颞叶内侧损害是神经梅毒影像学特征表现之一,对临床诊断及治疗预后有重要意义。Objective To evaluate the MRI characteristics of mesiotemporal lobe in the patients with neurosyphilis. Methods We reported the clinical manifestations and MRI findings of mesiotemporal lobe lesion in 5 neurosyphilis pa- tients. Results These patients presented with cognitive impairment or mental symptoms. Brain MRI showed unilateral or bilateral high intensity signals in mesiotemporal lobe on T2 weighted imaging and FLAIR. The symptoms were improved after anti-syphilis treatment. Conclusion Mesial temporal region lesions on MRI are imaging features of neurosyphilis, which could play an important role in clinical diagnosis, treatment and prognosis.

关 键 词：神经梅毒 颞叶 磁共振成像 

分 类 号：R741[医药卫生—神经病学与精神病学] R445.2[医药卫生—临床医学]