Zagnoli F, Mocquard Y, Hourmant P, Rouhart F, André J, Goas J Y
Service de Neurologie, Centre Hospitalier Régional et Universitaire, Brest.
Ann Med Interne (Paris). 1988;139(6):391-4.
In four cases of stroke, it is only the systematic practice of serologic tests for syphilis that has permitted the true diagnosis and the true treatment. We observed cerebral, brain-stem and medullar infarction and one case of cerebellar haemorrhage. Meningo vascular syphilis is now the most frequent of the central nervous system lesion. Cerebrospinal fluid is always abnormal in active disease. The decrease of cell count is the best control of the treatment that needs high doses of Penicillin G.
在4例中风病例中,只有通过系统地进行梅毒血清学检测才得以做出准确诊断并进行有效治疗。我们观察到了脑、脑干和延髓梗死以及1例小脑出血。脑膜血管梅毒现在是中枢神经系统病变中最常见的。在活动性疾病中,脑脊液总是异常的。细胞计数的下降是需要大剂量青霉素G治疗的最佳疗效指标。