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- W2018127332 abstract "La neurosyphilis, manifestation de la syphilis tertiaire survient en moyenne 20 ans après une syphilis primaire mal ou non traitée. Compte tenu de la baisse de l’incidence de la méningo encéphalite syphilitique, ses aspects IRM sont peu connus. Un homme de 65 ans présenta un tableau clinique typique d’une paralysie générale avec troubles psychiatriques à type d’accès maniaque, syndrome démentiel avec syndrome frontal et aussi tabès et signe d’Argyll Robertson. L’IRM montrait des hypersignaux T2 bilatéraux mésiotemporaux, insulaires et frontaux, une dilatation quadriventriculaire et une atrophie corticale. L’intérêt de cette observation est de rappeler l’importance de l’étude de la sérologie syphilitique devant des troubles psychiatriques subaigus et d’illustrer les aspects IRM de cette maladie. Neurosyphilis is rare today. It arises on average 20 years after poorly treated or untreated primary syphilis. Considering the decline in the incidence of syphilitic meningo encephalitis and the little known MRI aspects, we report the case of a patient affected by neurosyphilis occurring after primary syphilis untreated for 25 years. A 65-year-old man presented typical clinical features including general paresis with psychiatric disorders, maniac access, and frontal syndrome as well as tabes dorsalis and Argyll-Robertson pupil. Brain MRI showed bilateral high intensity signals on the T2 weighted sequence located in mesiotemporal, insular, frontal regions. Very few cases of neurosyphilis with detailed brain MRI aspects have been reported. The interest of this case report is first to recall the importance of syphilitic serology in patients with subacute psychiatric disorders and secondly to present rarely reported aspects of the brain MRI." @default.
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- W2018127332 date "2011-04-01" @default.
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- W2018127332 title "Aspect IRM de la neuropsyphillis" @default.
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- W2018127332 doi "https://doi.org/10.1016/j.neurol.2010.08.012" @default.
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