刘彬, 钟平, 汪国胜, 张雷, 马争飞, 张尊胜. 神经梅毒13例临床分析并文献复习[J]. 蚌埠医学院学报, 2014, 38(4): 489-491.
    引用本文: 刘彬, 钟平, 汪国胜, 张雷, 马争飞, 张尊胜. 神经梅毒13例临床分析并文献复习[J]. 蚌埠医学院学报, 2014, 38(4): 489-491.
    LIU Bin, ZHONG Ping, WANG Guo-sheng, ZHANG Lei, MA Zheng-fei, ZHANG Zun-sheng. Clinical analysis of 13 cases of neurosyphilis and review of the literature[J]. Journal of Bengbu Medical College, 2014, 38(4): 489-491.
    Citation: LIU Bin, ZHONG Ping, WANG Guo-sheng, ZHANG Lei, MA Zheng-fei, ZHANG Zun-sheng. Clinical analysis of 13 cases of neurosyphilis and review of the literature[J]. Journal of Bengbu Medical College, 2014, 38(4): 489-491.

    神经梅毒13例临床分析并文献复习

    Clinical analysis of 13 cases of neurosyphilis and review of the literature

    • 摘要: 目的:探讨神经梅毒诊断要点,提高临床医生对该病的认识,降低误诊和漏诊率。方法:回顾性分析13例神经梅毒患者的临床资料特点,结合文献分析其临床表现、分型及诊断要点。结果:13例中无症状神经梅毒3例,脑(脊)膜血管梅毒5例,脊髓痨2例,麻痹性痴呆3例,其中4例误诊。常见症状有精神行为异常、癫痫发作及多发性脑梗死症状。影像学表现为脑萎缩、脑积水、脑梗死及大脑中动脉狭窄或闭塞。结论:神经梅毒临床表现复杂多变,无特异性,误诊和漏诊率高,影像学检查对诊断有提示作用。

       

      Abstract: Objective:To discuss the diagnostic criteria of neurosyphilis and decrease the misdiagnosis and missed diagnosis of the disease.Methods:The clinical data of 13 cases of neurosyphilis were presented,and the clinical manifestation,typing and diagnostic criteria of the disease were analyzed by review of the literature.Results:Among the 13 cases of neurosyphilis,3 cases had asymptomatic neurosyphilis,5 meningovascular syphilis,2 tabes dorsalis and 3 paralytic dementia;4 of the cases were misdiagnosed.The common symptoms included mental and behavioral abnormalities,epileptic seizure and multiple cerebral infarctions.The imageology manifestation showed brain atrophy,hydrocephalus,multiple cerebral infarction and middle cerebral artery stenosis or occlusion.Conclusions:The clinical manifestations of neurosyphilis are varied and lack of specificity;it is easy to be misdiagnosed or misdiagnosed.Abnormal imageology would be of help to the diagnosis of the disease.

       

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