中国麻风皮肤病杂志 ›› 2024, Vol. 40 ›› Issue (9): 648-650.doi: 10.12144/zgmfskin202409648

• 临床研究 • 上一篇    下一篇

以共济失调为首发症状的神经梅毒一例并文献复习

徐金颖1,楼敏芳2   

  1. 1浙江中医药大学第三临床医学院，浙江杭州，310053；2浙江中医药大学附属四省边际中医院（衢州市中医医院），浙江衢州，324000
  • 出版日期:2024-09-15 发布日期:2024-08-14

Neurosyphilis with ataxia as the first symptom: a case report and literature review

XU Jinying1, LOU Minfang2   

  1. 1 The Third Clinical Medical College of Zhejiang Chinese Medicine University, Hangzhou 310053, China; 2 Zhejiang Chinese Medical University Affiliated Hospital at the Border of Four Provinces (Quzhou Traditional Chinese Medicine Hospital), Quzhou 324000, China
  • Online:2024-09-15 Published:2024-08-14

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摘要： 神经梅毒的临床表现多样，如癫痫、头晕、头痛、眼睑下垂、帕金森病、共济失调、肢体无力等，而以共济失调为首发症状的神经梅毒容易被误诊，现报道1例并分析其临床表现、影像学及脑脊液特点，并回顾相关文献。

关键词: 神经梅毒, 共济失调, 首发症状, 麻痹性痴呆

Abstract: The clinical manifestations of neurosyphilis are diverse, including symptoms such as seizures, vertigo, headaches, ptosis, Parkinsonism, ataxia, and limb weakness. Neurosyphilis presenting with ataxia as the initial symptom is often misdiagnosed. Herein, we report a case and analyze its clinical manifestations, neuroimaging features, and cerebrospinal fluid (CSF) characteristics, and the relevant literature was reviewed.

Key words: neurosyphilis, ataxia, first symptom, general paresis