MRI of neurosyphilis presenting as mesiotemporal abnormalities: a case report.
The high signal intensities in bilateral mesiotemporal lobes on T2-weighted images are typical findings of herpes encephalitis or paraneoplastic limbic encephalitis. We report a case of neurosyphilis with mesiotemporal involvement on MRI. Positive antibodies in the cerebrospinal fluid confirmed the diagnosis. The results suggest that neurosyphilis should be considered when MRI results indicate mesiotemporal abnormalities.
Department of Radiology, Gachon University, Gil Medical Center, Namdong-Gu, Incheon, Korea.
Yu Mi
YM
Jeong
Hee Young
HY
Hwang
Hyung Sik
HS
Kim
D000328:Adult; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D001707:Biopsy, Needle; D002601:Chancre / Q000175:diagnosis / Q000473:pathology; D003937:Diagnosis, Differential; D020803:Encephalitis, Herpes Simplex / Q000175:diagnosis; D005500:Follow-Up Studies; D006801:Humans; D020363:Limbic Encephalitis / Q000175:diagnosis; D008279:Magnetic Resonance Imaging / Q000379:methods*; D008297:Male; D009494:Neurosyphilis / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D010406:Penicillins / Q000008:administration & dosage; D035583:Rare Diseases; D013702:Temporal Lobe / Q000473:pathology*; D014059:Tongue / Q000473:pathology
D000900:Anti-Bacterial Agents; D010406:Penicillins