神经梅毒树胶肿  

A case of cerebral syphilitic gummata

作　　者：刘俊 蒋秋华[1] 周椿昊[1] 罗德芳[1] 张震宇[1] 杨瑞金[1] 程祖珏[2] LIU Jun, JIANG Qiu-hua, ZHOU Chun-hao, LUO De-fang, ZHANG Zhen-yu, YANG Rui-jin, CHENG Zu-jue(Department of Neurosurgery, Ganzhou People＇s Hospital , Ganzhou 341000, Chin)

机构地区：[1]赣州市人民医院神经外科,江西赣州341000 [2]南昌大学第二附属医院神经外科,江西南昌330000

出　　处：《临床皮肤科杂志》2018年第4期220-222,共3页Journal of Clinical Dermatology

摘　　要：报告1例以头痛伴吐字不清为首发表现的神经梅毒树胶肿。患者男,65岁。因头痛伴口齿不清2周就诊。血清及脑脊液梅毒螺旋体特异性抗体试验呈阳性,快速血浆反应素试验呈阳性,脑脊液细胞数正常,蛋白含量升高;术后组织病理检查提示梅毒树胶肿。经青霉素治疗后临床症状明显改善。该病的影像学表现缺乏特征性,诊断需综合分析临床表现、实验室检查及影像学资料。A case of cerebral syphilitic gummata with headache and inarticu｜acy as first symptom is reported. A 65-year- old male complained of headache and inarticulacy for 2 weeks. TPHA and PRP in blood and CSF were positive. In CSF, cell counts was normal, but protein content was elevated. The diagnosis of cerebral syphilitic gummata was made with histopathology. Treatments with penicillin alleviated clinical symptoms. The imaging changes in cerebral intracranial syphilitic gummata are nonspeeific. Diagnosis of cerebral syphilitic gummata should be based on the clinical manifestations, laboratory examination and imaging findings.

关 键 词：神经梅毒树胶肿 神经影像学 脑肿瘤 

分 类 号：R759.13[医药卫生—皮肤病学与性病学]