RESUMO
Syphilis is a reemergent infection worldwide. There has been a steady increase in incidence across many population groups in the last decades, requiring public health authorities' attention. We report a case of a 67-year-old man with neurosyphilis who presented with abrupt clinical ophthalmic changes and sensorineural hearing loss. The neuroradiological investigation demonstrated cranial nerves and vascular involvement, detected on high-resolution vessel wall imaging in brain magnetic resonance imaging. CSF and blood VDRL test were positive, as well as blood serum fluorescent treponemal antibody absorption test (FTA-ABS) and chemiluminescent magnetic microparticle immunoassay (CMIA). A test for the human immunodeficiency virus was negative. The patient was administered intravenous penicillin G for 21 days and was discharged well, with no neurologic signs.
Assuntos
Neurite (Inflamação) , Neurossífilis , Sífilis , Vasculite , Idoso , Humanos , Masculino , Neurossífilis/diagnóstico por imagem , Neurossífilis/tratamento farmacológico , Sorodiagnóstico da Sífilis/métodosAssuntos
Humanos , Masculino , Pessoa de Meia-Idade , Lesões Encefálicas/etiologia , Lesões Encefálicas/diagnóstico por imagem , Imageamento por Ressonância Magnética/métodos , Infarto Cerebral/complicações , Acidente Vascular Cerebral/complicações , Isquemia Encefálica/diagnóstico , Circulação Cerebrovascular , Exame NeurológicoRESUMO
Formerly called dysembryoplastic neuroepithelial tumour (DNET) of the septum pellucidum, myxoid glioneuronal tumour (MGT) was recently recognized as a distinct entity. We report three cases of presumed MGT with typical location and image features.