Neurosyphilis?

summary

Neurosyphilis is a group of clinical syndrome that the nervous system is invaded by Treponema pallidum, and the meninges, brain, blood vessels or spinal cord are damaged. Neurosyphilis can occur in all stages of the course of syphilis, often because early syphilis is not thoroughly treated, and it is often an important manifestation of systemic damage in late syphilis. Neurosyphilis? Next, I'd like to share my views with you.

Neurosyphilis?

Asymptomatic neurosyphilis patients are asymptomatic, some patients have abnormal pupil. The diagnosis was mainly based on the positive results of syphilis related antibody in serum and cerebrospinal fluid, and the number of cerebrospinal fluid cells > 5 × 10∧6/L。 Meningeal enhancement was seen on MRI.

The clinical manifestations were hemiplegia, hemiparesthesia, hemiblindness and aphasia. Patients are usually younger than those with atherosclerosis. In addition to cerebral infarction, meningeal enhancement could be seen on MRI. The diagnosis mainly depends on the positive syphilis test in blood and cerebrospinal fluid.

In chronic meningitis, cranial base meningitis is the main cause, which is easy to involve the cranial nerves. The symptoms of cranial nerve paralysis include ophthalmoplegia, facial paralysis and hearing loss. If the cerebrospinal fluid circulation pathway is blocked, hydrocephalus may appear. Cerebrospinal fluid examination can show increased pressure, cell number and protein.

matters needing attention

Early syphilis emphasizes early treatment, regular treatment, try to use penicillin treatment. Neurosyphilis patients should have a high nutrition diet, easy to digest and absorb, rich in vitamins, which can enhance their resistance. A small amount of multiple meals can make their diet light and not greasy,