Nitrini R, Zambon A A, Hirsh R, Rosemberg S, Scaff M
Department of Neurology, Faculty of Medicine, São Paulo University, Brasil.
Arq Neuropsiquiatr. 1988 Sep;46(3):316-9. doi: 10.1590/s0004-282x1988000300014.
A 40-year-old male patient with progressive dementia presented adversive seizures, and CT scan showed an enlarging focal mass lesion in the right cerebral hemisphere. Cerebrospinal fluid examination and brain biopsy confirmed the diagnosis of neurosyphilis. After a course of penicillin therapy there was disappearance of the cerebral mass lesion and the CT scan showed focal atrophy in the right cerebral hemisphere. This case suggests that Lissauer form of paretic neurosyphilis may present as a focal mass lesion.
一名40岁患有进行性痴呆的男性患者出现了反向性癫痫发作，CT扫描显示右侧大脑半球有一个逐渐增大的局灶性肿块病变。脑脊液检查和脑活检确诊为神经梅毒。经过一个疗程的青霉素治疗后，脑部肿块病变消失，CT扫描显示右侧大脑半球局灶性萎缩。该病例提示，麻痹性神经梅毒的利绍尔型可能表现为局灶性肿块病变。
