| 테두리 조영증강을 보이는 척수내 결절로 내원한 신경매독 증례 |
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김민경, 정선혜, 신진홍 |
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양산부산대학교병원 신경과 |
| Neurosyphilis Manifesting as an Intramedullary Nodule with Rim Enhancement |
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Minkyeong Kim, Sunhye Jung, Jin-Hong Shin |
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Department of Neurology, Pusan National University Yangsan Hospital, Yangsan, Korea |
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| Abstract |
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"Neurosyphilis in spinal cord presenting as isolated gumma is extremely rare, which poses a clinical challenge since it is often mistaken for central nervous system tumor or parasite infection. With severalserologic tests, magnetic resonance image (MRI) provides a diagnostic clue. Here in, we reporta case with rapidly progressive weakness, whose spine MRI manifested isolated intramedullarygumma and extensive cord edema. Venereal disease research laboratory of cerebrospinal fluid wasstrongly reactive. Intravenous penicillin-G with high-dose steroid resulted in an excellent clinicalimprovement. Journal of Multiple Sclerosis 8(1):14-17, 2017" |
| Key Words:
Neurosyphilis, Spine MRI, Penicillin |
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