The neurologist · 2006
Neurosyphilis presenting with status epilepticus.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Chang Yang-Pei, Lin Ruey-Tay, Liu Ching-Kuan, Chao Hai-Lun, Chao A-Ching
Аннотация
BACKGROUND: With the introduction of antibiotics, neurosyphilis is now considered uncommon, and accurate diagnosis sometimes is problematic as the symptoms and signs are not pathognomonic.
REVIEW SUMMARY: We present a 51-year-old man who had a 4-month history of general malaise and subtle cognitive impairment, combined with a normal brain image study, who ultimately developed an episode of status epilepticus as the main manifestation of unrecognized neurosyphilis.
CONCLUSION: Because a clinical diagnosis of neurosyphilis is rarely encountered today in the developed world, a high index of suspicion and clinician awareness is very important in early diagnosis.
REVIEW SUMMARY: We present a 51-year-old man who had a 4-month history of general malaise and subtle cognitive impairment, combined with a normal brain image study, who ultimately developed an episode of status epilepticus as the main manifestation of unrecognized neurosyphilis.
CONCLUSION: Because a clinical diagnosis of neurosyphilis is rarely encountered today in the developed world, a high index of suspicion and clinician awareness is very important in early diagnosis.