神经梅毒临床特征研究  

CLINICAL CHARACTERISTICS OF NEUROSYPHILI

作　　者：彭健[1] 楮晓凡[1] 付学军[1] 李富康[1] 

机构地区：[1]暨南大学医学院附属二医院神经内科,深圳518020

出　　处：《中国现代医学杂志》2003年第12期15-17,共3页China Journal of Modern Medicine

摘　　要：目的 :探讨神经梅毒的临床特点。方法 :回顾性地分析我院 4例神经梅毒住院病人的临床特点及脑脊液、MRI等特定表现及对近年有关神经梅毒文献复习。结果 :4例患者中男性 3例 ,女性 1例 ,年龄为 4 3～ 5 9岁。均有梅毒接触史 ,自初次感染至神经症状发作时间为 5～ 13年 ,平均为 9年 ,住院确诊时间平均 14d。分别以脑膜脑实质梅毒 ;脊髓梅毒 ;脊髓及脑梅毒。脑血管梅毒等形式发病。结论 :神经梅毒表现形式多样 ,易延误诊断 ,应引起临床工作者重视。Objective:To evaluate clinical characteristics of neurosyphili.Methods:The clinical symptom, cerebrospinal fluid and MRI characteristic of 4 cases were retrospectively analysed, and references of recent years were reviewed.Results:All 4 cases were adults aged from 43～59 years (mean 50.5 years).The mean diagnosed period was 14 days. Cerebral meninges and parenchymatous syphilis, spinal cord syphilis (tabetic), spinal and cerebral meninges syphilis, cerebrovascular syphilis were flare up of 4 cases.Conclusions:There may appear different clinical manifestations in neurosyphili according to its position. The disease ought to be minded by medical staff because its diagnosis are frequently delayed.

关 键 词：神经梅毒 临床特点 

分 类 号：R759.13[医药卫生—皮肤病学与性病学]