Department of Neurology, Daping Hospital, Third Military Medical University, Chongqing 400042, China.
Neurol Sci. 2012 Oct;33(5):1179-81. doi: 10.1007/s10072-011-0878-8. Epub 2011 Dec 14.
A 45-year-old male presented with subacute onset of a right-sided hemiparesis, right homonymous hemianopsia, and slurred speech. The brain imaging revealed two separate intraparenchymal enhancing lesions. The cerebrospinal fluid rapid plasma reagin and venereal disease research laboratory test were positive and consistent with syphilitic gumma, and the patient responded dramatically to penicillin G. Despite, currently low incidence of syphilis; CNS gummas should be in the differential of mass lesions as they are eminently treatable.
一位 45 岁男性以右侧偏瘫、右侧同向偏盲和言语不清的亚急性起病。脑部影像学显示两个独立的脑实质强化病灶。脑脊液快速血浆反应素和性病研究实验室检查均为阳性，与梅毒树胶肿相符，患者对青霉素 G 反应明显。尽管目前梅毒的发病率较低；但中枢神经系统树胶肿在鉴别肿块病变时应考虑在内，因为它们是可以治疗的。
