[神经梅毒与否-一个鉴别诊断挑战的病例]。

IF 0.9 4区医学 Q4 CLINICAL NEUROLOGY Ideggyogyaszati Szemle-Clinical Neuroscience Pub Date : 2023-09-30 DOI:10.18071/isz.76.0356

Anett Csáti, Délia Szok, Rita Végh, Katalin Jakab, Péter Károly Sárvári, Gabriella Terhes, Gyula Pásztor, Magdolna Gaál, Péter Klivényi, János Tajti

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引用次数: 0

摘要

我们报告了一例42岁的女性伴偏瘫伴横贯性脊髓炎的病例。为了鉴别诊断，进行了详细的微生物学、脑脊液（CSF）和神经影像学检查。梅毒已被证实，但神经梅毒的诊断仅基于脑脊液微生物检测结果。在我们的病例中，应用梅毒治疗方案的有益治疗反应支持了梅毒相关脊髓炎的假定诊断。在本病例报告中，我们回顾了脊髓病/脊髓炎的鉴别诊断工具。如今，随着梅毒在全球范围内的日益流行，医生应该面对它的存在和医疗后果。。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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[Neurosyphilis or not - a case of a differential diagnostic challenge].

We report the case of a 42-year-old woman with paraparesis associated with transverse myelitis. For differential diagnostics detailed microbiological, cerebrospinal fluid (CSF) and neuroimaging examinations were performed. Syphilis was confirmed, but diagnosis of neurosyphilis was only probable based on the CSF microbiological test results. The beneficial treatment response to application of the therapeutic protocol for syphilis supported the supposed diagnosis of syphilis-associated myelitis in our case. In this case report we reviewed the differential diagnostic tools of myelopathies/myelitis.
Nowadays regarding to growing prevalence of syphilis worldwide physicians should face on its presence and medical consequences.

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来源期刊

Ideggyogyaszati Szemle-Clinical Neuroscience CLINICAL NEUROLOGY-NEUROSCIENCES

CiteScore

1.30

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： The aim of Clinical Neuroscience (Ideggyógyászati Szemle) is to provide a forum for the exchange of clinical and scientific information for a multidisciplinary community. The Clinical Neuroscience will be of primary interest to neurologists, neurosurgeons, psychiatrist and clinical specialized psycholigists, neuroradiologists and clinical neurophysiologists, but original works in basic or computer science, epidemiology, pharmacology, etc., relating to the clinical practice with involvement of the central nervous system are also welcome.