摘要
目的 :探讨神经梅毒的临床特点。方法 :回顾性地分析我院 4例神经梅毒住院病人的临床特点及脑脊液、MRI等特定表现及对近年有关神经梅毒文献复习。结果 :4例患者中男性 3例 ,女性 1例 ,年龄为 4 3～ 5 9岁。均有梅毒接触史 ,自初次感染至神经症状发作时间为 5～ 13年 ,平均为 9年 ,住院确诊时间平均 14d。分别以脑膜脑实质梅毒 ;脊髓梅毒 ;脊髓及脑梅毒。脑血管梅毒等形式发病。结论 :神经梅毒表现形式多样 ,易延误诊断 ,应引起临床工作者重视。
Objective:To evaluate clinical characteristics of neurosyphili.Methods:The clinical symptom, cerebrospinal fluid and MRI characteristic of 4 cases were retrospectively analysed, and references of recent years were reviewed.Results:All 4 cases were adults aged from 43～59 years (mean 50.5 years).The mean diagnosed period was 14 days. Cerebral meninges and parenchymatous syphilis, spinal cord syphilis (tabetic), spinal and cerebral meninges syphilis, cerebrovascular syphilis were flare up of 4 cases.Conclusions:There may appear different clinical manifestations in neurosyphili according to its position. The disease ought to be minded by medical staff because its diagnosis are frequently delayed.
出处
《中国现代医学杂志》
CAS
CSCD
2003年第12期15-17,共3页
China Journal of Modern Medicine
关键词
神经梅毒
临床特点
Neurosyphili
Clinical characteristic
