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报告1例以头痛为首发表现的颅内树胶肿型神经梅毒。患者男,39岁。表现为头痛伴有反应迟钝、记忆力减退等症状。快速血浆反应素环状卡片试验(RPR)阳性,滴度1:128、梅毒螺旋体颗粒凝集试验(TPPA)阳性,滴度>1:1 280;脑脊液检查:性病研究实验室试验(VDRL)(+)、RPR 1:2,荧光梅毒螺旋体抗体吸收试验(FTA—ABS)::IgG(+)、IgM(-)。头颅磁共振成像(MRI):颅内梅毒树胶肿。经青霉素治疗后,临床症状明显改善。该病的影像学表现缺乏特征性,诊断需综合分析临床表现、实验室检查及影像学资料。
Report 1 case of headache as the first performance of intracranial gum tumor neurosyphilis. Male patient, 39 years old. Headache with unresponsive performance, memory loss and other symptoms. (RPR) was positive with a titer of 1: 128 and positive for TPPA (titers> 1: 1 280); cerebrospinal fluid examination: VDRL (+ ), RPR 1: 2, Fluorescent Treponema pallidum antibody absorption test (FTA-ABS) :: IgG (+), IgM (-). Head magnetic resonance imaging (MRI): intracranial syphilis gum swelling. After penicillin treatment, clinical symptoms improved significantly. Imaging of the disease is characterized by lack of features, the diagnosis requires a comprehensive analysis of clinical manifestations, laboratory tests and imaging data.