Tonelli L, Sintini M, Manetto V, Frank F, Torcia E, Mavilla L, Merli G A
Department of Neurosurgery and Neuroradiology, Modena City Hospital, Italy.
J Neurosurg Sci. 1989 Oct-Dec;33(4):319-22.
A rare case of neurosyphilis presenting with dementia paralytica and radiological appearance of cerebral gumma is reported. In accordance with previous comparable reports Authors noticed that diagnosis of this disease actually is still based on serological tests and clinical examination. CT, NMR and Cerebral angiography were not able to provide diagnostic findings, although NMR confirmed its ability to detect lesions not discovered by CT scan. Also findings from stereotactic biopsy only revealed an old not active infection.
报告了一例罕见的以麻痹性痴呆和脑梅毒瘤放射学表现为特征的神经梅毒病例。根据以往类似报告，作者注意到该病的诊断实际上仍基于血清学检测和临床检查。CT、核磁共振成像（NMR）和脑血管造影均未能提供诊断结果，尽管核磁共振成像证实了其检测CT扫描未发现病变的能力。立体定向活检结果也仅显示为陈旧性非活动性感染。
