A Case of Neurosyphilis Radiologically Mimicking Herpes Simplex Encephalitis.
- Author:
Min Ah KIM
1
;
Jun Sung AHN
;
Sang Jin KIM
;
Sung Eun KIM
;
Eung Gyu KIM
Author Information
1. Department of Neurology, Inje University College of Medicine, Busan, Korea. jsk120@hanmail.net
- Publication Type:Case Report
- Keywords:
Neurosyphilis;
Magnetic resonance imaging;
Herpes simplex encephalitis
- MeSH:
Adult;
Antibodies;
Brain;
Encephalitis, Herpes Simplex*;
Herpes Simplex*;
Humans;
Magnetic Resonance Imaging;
Neurosyphilis*;
Penicillins;
Treponema pallidum
- From:Journal of the Korean Neurological Association
2004;22(6):666-669
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The neuroradiologic findings of neurosyphilis are variable. A 36-year-old man was admitted due to gradually progressing abnormal behavior and personality change. The brain MRI revealed bilateral mesiotemporal hyperintensity on FLAIR and T2 weighted MR images. Analysis of serum and CSF demonstrated the presence of antibodies to Treponema pallidum. The patient was treated with penicillin, and he had clinical improvements. Neurosyphilis can manifest with MR imaging abnormalities similar to those of herpes encephalitis.
