Department of Neurology, NEIGRIHMS, North Eastern Indira Gandhi Regional Institute of Medical Sciences Shillong, Meghalaya, India (An Autonomous Institute, Ministry of Health and Family Welfare, Government of India), India.
Neurol India. 2020 Mar-Apr;68(2):487-488. doi: 10.4103/0028-3886.284383.
The manifestations of CNS syphilis are unfamiliar to a differential of patients with dementia to many physicians today as of the relative rarity of this condition. This is a classical case report of a patient with syphilis and dementia in a 55-year-old female. General paresis of insane is a progressive disease of the brain leading to mental and physical worsening. It is important to consider tertiary syphilis in the differential diagnosis of dementia. Conventional presentations of neurosyphilis such as tabes dorsalis and general paresis of insane are read in textbooks only and rarely encountered in clinical practice in the 21 century.
中枢神经系统梅毒的表现对于当今许多医生来说，由于这种疾病相对罕见，对痴呆患者的鉴别诊断并不熟悉。这是一例 55 岁女性梅毒和痴呆患者的经典病例报告。麻痹性痴呆是一种进行性脑疾病，导致精神和身体恶化。在痴呆症的鉴别诊断中，应考虑到三级梅毒。在 21 世纪的临床实践中，教科书上仅记载了神经梅毒的典型表现，如脊髓痨和麻痹性痴呆，很少遇到。
