| General paresis with reversible mesial temporal T2-weighted hyperintensity on magnetic resonance image: a case report. | |
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MedLine Citation:
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PMID: 16425549 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We report a patient with general paresis, whose magnetic resonance image (MRI) showed a T2 high-intensity lesion in bilateral mesial temporal regions. Serum rapid plasma reagin test showed reactive at 64 dilutions and serum Treponema pallidum haemagglutination test was 1:20480. Cerebrospinal fluid analysis showed: RBC 111/mm3, WBC 8/mm3, Venereal Disease Research Laboratory reactive at 1 dilution and protein 60 mg/dl. His neuropsychiatric symptoms recovered gradually after penicillin treatment two months later. Repeated MRI revealed resolution of the bilateral mesial temporal lesions. We demonstrated the first Taiwanese patient with general paresis whose clinical improvement was associated with the disappearance of the temporal lobe MRI abnormality. The diagnosis of neurosyphilis must be considered when MRI shows mesial temporal lesions. MRI may be used to predict prognosis in patients with general paresis. |
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Authors:
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Chung-Wen Chen; Ho-Chou Chiang; Po-Lin Chen; Peiyuan F Hsieh; Yi-Chung Lee; Ming-Hong Chang |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Acta neurologica Taiwanica Volume: 14 ISSN: 1028-768X ISO Abbreviation: Acta Neurol Taiwan Publication Date: 2005 Dec |
Date Detail:
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Created Date: 2006-01-23 Completed Date: 2006-02-09 Revised Date: 2008-05-28 |
Medline Journal Info:
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Nlm Unique ID: 9815355 Medline TA: Acta Neurol Taiwan Country: China (Republic : 1949- ) |
Other Details:
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Languages: eng Pagination: 208-12 Citation Subset: IM |
Affiliation:
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Division of Neurology, Taichung Veterans General Hospital, Taiwan. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Humans Magnetic Resonance Imaging* Male Middle Aged Neurosyphilis / drug therapy, pathology* Penicillin G / therapeutic use Temporal Lobe / pathology* |
| Chemical | |
Reg. No./Substance:
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61-33-6/Penicillin G |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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