Vedes Elisa, Geraldo Ana Filipa, Rodrigues Rita, Reimão Sofia, Ribeiro Alice, Antunes Francisco
Internal Medicine Department, Centro Hospitalar Lisboa Norte, EPE, 1649-035 Lisbon, Portugal.
Case Rep Infect Dis. 2012;2012:154863. doi: 10.1155/2012/154863. Epub 2012 Feb 16.
Acute confusion and memory loss associated with asymmetrical mesiotemporal hyperintensity on T2-weighted MRI are characteristic of herpes encephalitis. The authors report the case of a patient with these symptoms and MRI presentation who had neurosyphilis. Recently clinical and imaging patterns usually associated with herpes simplex encephalitis have been seen in patients with neurosyphilis. Because syphilis is "The Great Pretender" not only clinically but also in imaging and because its numbers are rising, it must be sought as a differential diagnosis.
T2加权磁共振成像（MRI）上与不对称性颞叶内侧高信号相关的急性意识模糊和记忆丧失是疱疹性脑炎的特征。作者报告了一例有这些症状和MRI表现但患有神经梅毒的患者。最近，神经梅毒患者出现了通常与单纯疱疹性脑炎相关的临床和影像学表现。由于梅毒不仅在临床上，而且在影像学上都是“伪装大师”，且其发病率正在上升，因此必须将其作为鉴别诊断进行排查。
