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[潜伏梅毒时脑的心室和血管系统变化]

[Changes in the ventricular and vascular systems of the brain in latent syphilis].

作者信息

Kananadze L V, Burtsev E M, Starodubtsev A V

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1986;86(5):699-701.

PMID:3739481
Abstract

Thirty-four patients with early latent syphilis were studied using clinico-laboratory methods including pneumoencephalography, echoventriculometry, rheoencephalography, radiocirculography and angiography. Examination revealed distinct changes in the ventricular and vascular systems of the brain in the form of marked hydrocephalus, atrophy of the cerebral matter, inhibition of the cerebral blood flow, tortuosity of the intracerebral blood flow, tortuosity of the intracerebral vessels and their irregular calibre. The results of invasive (pneumoencephalo- and angiography) and noninvasive ultrasonic and radioisotopic methods were in good correlation. These data indicate an early and fairly distinctive involvement of the nervous system in syphilis and the necessity of a wider use of non-invasive methods of examination for diagnosing latent and subclinical forms of neurosyphilis in conditions of dermatovenerological and neurological clinics.

摘要

对34例早期潜伏梅毒患者采用临床实验室方法进行研究,这些方法包括气脑造影、脑室回声测量、脑血流图、放射性循环造影和血管造影。检查发现,脑部的脑室和血管系统有明显变化,表现为明显的脑积水、脑实质萎缩、脑血流抑制、脑血流迂曲、脑内血管迂曲及其管径不规则。侵入性(气脑造影和血管造影)和非侵入性超声及放射性同位素方法的结果具有良好的相关性。这些数据表明,梅毒可早期且相当明显地累及神经系统,在皮肤性病科和神经科诊所的条件下,有必要更广泛地使用非侵入性检查方法来诊断潜伏性和亚临床型神经梅毒。

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