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Arquivos de Neuro-Psiquiatria

Print version ISSN 0004-282X

Arq. Neuro-Psiquiatr. vol.46 no.3 São Paulo Sept. 1988

http://dx.doi.org/10.1590/S0004-282X1988000300014 

Lissauer form of paretic neurosyphilis with a cerebral mass lesion

 

Forma de Lissauer da paralisia geral progressiva com lesão expansiva cerebral

 

 

Ricardo NitriniI; Antonio A. ZambónI; Roberto HirshI; Sérgio RosembergII; M. ScaffI

IDepartment of Neurology - Faculty of Medicine, São Paulo University
IIDepartment of Pathology - Faculty of Medicine, São Paulo University

 

 


SUMMARY

A 40-year-old male patient with progressive dementia presented adversive seizures, and CT scan showed an enlarging focal mass lesion in the right cerebral hemisphere. Cerebrospinal fluid examination and brain biopsy confirmed the diagnosis of neurosyphilis. After a course of penicillin therapy there was disappearance of the cerebral mass lesion and the CT scan showed focal atrophy in the right cerebral hemisphere. This case suggests that Lissauer form of paretic neurosyphilis may present as a focal mass lesion.


RESUMO

Registro de caso de paciente do sexo masculino com 40 anos de idade em que a tomografia computadorizada revelou a presença de processo expansivo no hemisfério cerebral direito. Os exames do líqüido cefalorraqueano e biópsia cerebral evidenciaram as características de neurossífilis. Após penicilinoterapia foi constatada atrofia focal no hemisfério cerebral direito. Este caso sugere que a forma de Lissauer da paralisia geral progressiva pode manifestar-se como processo expansivo cerebral.


 

 

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

 

 

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