MRI of Neurosyphilis Presenting as Mesiotemporal Abnormalities: a Case Report.
10.3348/kjr.2009.10.3.310
- Author:
Yu Mi JEONG
1
;
Hee Young HWANG
;
Hyung Sik KIM
Author Information
1. Department of Radiology, Gachon University, Gil Medical Center, Incheon 405-760, Korea. h2y@gilhospital.com
- Publication Type:Case Report
- Keywords:
Neurosyphilis;
Mesial temporal lesions;
Magnetic resonance (MR)
- MeSH:
Adult;
Anti-Bacterial Agents/administration & dosage;
Biopsy, Needle;
Chancre/diagnosis/pathology;
Diagnosis, Differential;
Encephalitis, Herpes Simplex/diagnosis;
Follow-Up Studies;
Humans;
Limbic Encephalitis/diagnosis;
Magnetic Resonance Imaging/*methods;
Male;
Neurosyphilis/*diagnosis/drug therapy/pathology;
Penicillins/administration & dosage;
Rare Diseases;
Temporal Lobe/*pathology;
Tongue/pathology
- From:Korean Journal of Radiology
2009;10(3):310-312
- CountryRepublic of Korea
- Language:English
-
Abstract:
The high signal intensities in bilateral mesiotemporal lobes on T2-weighted images are typical findings of herpes encephalitis or paraneoplastic limbic encephalitis. We report a case of neurosyphilis with mesiotemporal involvement on MRI. Positive antibodies in the cerebrospinal fluid confirmed the diagnosis. The results suggest that neurosyphilis should be considered when MRI results indicate mesiotemporal abnormalities.
