title: Differential diagnosis of mesiotemporal lesions: case report of neurosyphilis.
abstract: We report a clinical and imaging case of suspected herpes simplex encephalitis subsequently diagnosed as neurosyphilis based on positive antibodies in the CSF. MRI of the brain showed cortical and subcortical lesions in the mesial temporal region, septal area, insula and cingulated gyrus of the right cerebral hemisphere. Neurosyphilis should be included in the differential diagnosis of mesial temporal region lesions on MRI.
authors: Neuroradiology Department, Garcia de Orta Hospital, Almada, Portugal. gisantos@iol.pt
authors: A
authors: A
authors: Vieira Santos
authors: S
authors: S
authors: Matias
authors: P
authors: P
authors: Saraiva
authors: A
authors: A
authors: Goulão
mesh_terms: D000368:Aged; D000914:Antibodies, Viral / Q000134:cerebrospinal fluid; D003937:Diagnosis, Differential; D020803:Encephalitis, Herpes Simplex / Q000473:pathology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009494:Neurosyphilis / Q000175:diagnosis / Q000473:pathology*; D013702:Temporal Lobe / Q000473:pathology*; D014210:Treponema pallidum / Q000276:immunology
chemical_list: D000914:Antibodies, Viral