神经梅毒致脑积水1例诊治体会

Hydrocephalus caused by neurosyphilis: Diagnosis and treatment experience in one case

目的:探讨神经梅毒性脑积水的临床特点,提高临床认识,减少漏诊、误诊。方法:总结分析1例临床确诊的神经梅毒致脑积水的病历资料并结合文献报道。结果:经正规驱梅治疗后,临床症状明显改善,未行分流手术。结论:该病诊断主要依赖脑脊液实验室检查,神经梅毒致脑积水漏诊、误诊率高,正规驱梅治疗后临床症状能改善,谨慎分流手术治疗。

Objective： To understand the clinical pictures of hydrocephalus caused by neurosyphilis to reduce missed diagnosis and misdiagnosis. Methods ：The diagnosis and treatment experience were summarized in one case of hydrocephalus caused by neurosyphillis, and related literatures were re- viewed. Results ： The clinical symptoms were significantly improved after regular anti-syphilis treatment, and no shunt surgery was required. Conclusion ： Diagnosis of hydrocephalus caused by neurosyphilis primarily relies on laboratory study of the cerebrospinal fluid. This disorder has higher rate of missed diagnosis and misdiagnosis. Regular anti-syphilis therapy may improve the clinical symptoms, and shunt surgery should be a cautious option for surgical in- tervention.