摘要
Abstract
Objective To analyze the clinical characteristics, diagnosis and treatment of four case neurosyphilis with transient ischemic at ack onset.Methods Review the clinical characteristics,blood and CSF examination and neuroimaging results of four patients with neurosyphilis in our hospital from July 2006 to November 2013. Results The ages of patients were between 26 and 42 years ( average 33.75 years).TIA symptoms show limb weakness (3 cases),dysarthria (2 cases),facial paralysis (1 case) and numbness(1 case). Patients show mental decline(4 cases), ocular symptoms(2cases),and psychiatric symptoms(1 case) at the same time or later after TIA. Leukocyte counts and protein levels in CSF were increased.3cases in RPR and 4 cases in TPPA of blood and CSF were positive. MRI showed mild cerebral atrophy,which focus on temporal lobe,and may have abnormal signal. Intracranial vascular may be normal ,also may have focal or dif use stenosis. Conclusion The incidence of neurosyphilis showed an increasing trend.The clinical characteristics of neurosyphilis are complex, which easily lead to misdiagnosis and missed diagnosis.Neurosyphilis is another important factor in young stroke.关键词
神经梅毒/短暂性脑缺血发作/脑脊液/磁共振成像Key words
Neurosyphilis/Transient ischemic at ack/CSF/MRI
