| 杨姗杉1 夏圣梅1 杨凤民1 王长远2 卢岩2.神经梅毒5 例临床分析[J].,2011,11(10):1944-1946 |
| 神经梅毒5 例临床分析 |
| Clinical Analysis of 5 Cases with Neurosyphilis |
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| DOI： |
| 中文关键词: 神经梅毒 临床特征 脑脊液 影像特征 |
| 英文关键词: Neurosyphilis Clinical features Cerebrospinal fluid Image feature |
| 基金项目: |
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| 摘要点击次数: 561 |
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| 中文摘要: |
| 目的：探讨梅毒感染后致神经系统损害的临床特征，加强对神经梅毒的认识。方法：回顾性分析5 例神经梅毒患者的临床特
点、血清学变化、影像学资料。结果：5 例梅毒血清学检查、脑脊液梅毒检查均阳性，5 例头核磁检查存在特异性改变（4 例冠状位
可见海马异常信号），临床特征缺乏特异性。结论：神经梅毒好发于中年男性, 梅毒全身症状可不明显,其临床表现多样, 容易误诊
和漏诊, 临床应重视对患者临床特征识别，尤其对患者脑脊液及影像学检查结果识别，对神经梅毒患者的诊治有重要的现实意
义。 |
| 英文摘要: |
| Objective: To investigate the syphilis infection damages the nervous system caused by the clinical features, enhance
the understanding of neurosyphilis. Methods: A total of 5 patients with neurosyphilis were selected. Their clinical features, serological
changes, image data were retrospectively analysed Results: 5 cases of syphilis serologic test, cerebrospinal fluid syphilis check all
positive, 5 cases head mri inspection exist specific change (4 cases of coronal visible hippocampal anomalous signals), clinical features lack
of specificity. Conclusions: Neurosyphilis occurs in middle-aged men, syphilis,systemic symptoms may be obvious, its various clinical
manifestations, misdiagnosis and missed diagnosis,clinical recognition of the clinical characteristics of patients with special emphasis on
cerebrospinal fluid and imaging results to identify, for patients with neurosyphilis diagnosis has important practical significance. |
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