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Case No. 343
2014-07-01~2014-07-31
출제자 : 안성준
Hit : 388
| Period | 2014-07-01~2014-07-31 |
|---|---|
| Diagnosis | Neurosyphilis |
| Clinical information | M/37 Fever, 의식저하, Eyeball deviation, 기억력 감소 진단은? |
| Discussion | Refers to an infection of the brain and spinal cord caused by a microorganism, a spirochete named Treponema pallidum Transmitted during sexual intercourse The infection can occur at any stage of the disease process - one third of patients in the tertiary stage develop Divided into asymptomatic neurosyphilis, acute syphilitic meningitis, cerebrovascular neurosyphilis, the encephalitis or general paresis Imaging findings of neurosyphilis - include cerebral infarctions (typically lacunar or middle cerebral artery in distribution) - or nonspecific white matter lesions in meningovascular syphilis, - cerebral gummas - arteritis - cortical atrophy has been reported in patients with general paresis - Mesial temporal lobe abnormality In the present study, a MRI revealed high signal changes in the bilateral mesial temporal lobes, including both the hippocampi and amygdalae Differential diagnosis. - HSV encephalitis - Limbic encephalitis. |
| Correct answer |
Correct AnswerSemi-Correct Answer |