Neurosyphilis with Mesiotemporal Magnetic Resonance Imaging Abnormalities
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概要
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We describe a patient with mesial temporal T2-weighted image hyperintensity on magnetic resonance imaging that mimicked paraneoplastic limbic encephalitis. The patient showed pupillary abnormalities suggestive of a diagnosis of neurosyphilis, and the diagnosis was supported by the results of a serum Treponema pallidum hemagglutination assay (TPHA) and cerebrospinal fluid examination. Making a diagnosis of neurosyphilis is occasionally difficult because of the variety of clinical and imaging findings. Appropriate diagnosis and commencing adequate treatment are needed for a good prognosis; thus, neurosyphilis should be included in the differential diagnosis of mesiotemporal magnetic resonance imaging abnormalities.
- 社団法人 日本内科学会の論文
著者
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Kondo Tomoyoshi
Department Of Neurology Juntendo Univesity School Of Medicine
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Miwa Hideto
Department Of Neurology Juntendo University Urayasu Hospital
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Ishiguchi Hiroshi
Department of Electrical and Electronic Engineering, Faculty of Engineering, Shinshu University, 4-17-1 Wakasato, Nagano 380-8553, Japan
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Tuji Tomikimi
Department of Psychiatry, Wakayama Medical University
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Hama Kiwa
Department of Neurology, Wakayama Medical University
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