首页> 外文期刊>Journal of clinical neuroscience: official journal of the Neurosurgical Society of Australasia >Neurosyphilis presenting as a new onset lateralized movement disorder
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Neurosyphilis presenting as a new onset lateralized movement disorder

机译:神经梅毒表现为新的发作性侧移运动障碍

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摘要

We report a unique and illustrative case of a 52-year-old man with neurosyphilis presenting as subacute hemichorea, and discuss a vascular, metabolic or inflammatory origin. A broad range of neurological findings may be linked to neurosyphilis, potentially complicating its diagnosis. We propose that new onset lateralized movement disorders may constitute the initial clinical presentations of neurosyphilis, and provide evidence for striatal hypermetabolism pointing to direct inflammatory, syphilitic changes as the underlying pathophysiological mechanism. Neurosyphilis is no longer a common disorder, but the prevalence of syphilis is rising again in Western countries and its past reputation as the great imitator should not be forgotten. (C) 2015 Elsevier Ltd. All rights reserved.
机译:我们报告一个独特的和说明性的案例,一名52岁的男子患有神经梅毒,表现为亚急性偏瘫,并讨论了血管,代谢或炎症的起源。广泛的神经系统发现可能与梅毒有关,可能会使其诊断复杂化。我们建议,新的发作的侧向运动障碍可能构成神经梅毒的初始临床表现,并为纹状体代谢亢进提供证据,指出直接的炎症,梅毒改变是潜在的病理生理机制。神经梅毒已不再是一种常见的疾病,但是梅毒的流行在西方国家又在上升,并且它过去作为伟大模仿者的声誉也不应忘记。 (C)2015 Elsevier Ltd.保留所有权利。

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