Neurosyphilis

Case contributed by Dr Roberto Schubert

Presentation

HIV-positive patient. Good immune status under combined ART. Apraxia and left-right disorientation for about two weeks.

Patient Data

Age: 48
Gender: Male
MRI

Multiple T2-hyperintense and T1 hypointense lesions around the trigonum and occipital horn of the left lateral ventricle. Diffuse and perifocal oedema in that region with mass effect. Restricted diffusion of the lesion centers and the entire region. There is ring-enhancement of the larger subcortical lesions and gyriform enhancement of the cortex in the cuneus.

Case Discussion

Serologic tests for Treponema pallidum were positive.

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Case information

rID: 15976
Case created: 29th Nov 2011
Last edited: 27th Oct 2015
Inclusion in quiz mode: Included

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