Differential diagnosis of mesiotemporal lesions: case report of neurosyphilis.
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.
Vieira Santos
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Neuroradiology Department, Garcia de Orta Hospital, Almada, Portugal. gisantos@iol.pt
Matias
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Saraiva
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Goulão
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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
D000914:Antibodies, Viral