70 下列關於神經性梅毒(neurosyphilis)之敘述,何者錯誤?
(A)在盤尼希林(penicillin)發明後,神經性梅毒較少發生,但自愛滋病出現以來,神經性梅毒再度受
到醫學界之重視
(B)神經性梅毒對腦部之影響主要是顳葉,所以會產生類似精神分裂症患者之幻聽與妄想
(C)其腦脊髓液有淋巴球增多(lymphocytosis)及較多之蛋白質
(D)神經性梅毒通常在感染梅毒螺旋菌 10 至 15 年後發生
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統計: A(0), B(26), C(13), D(6), E(0) #1054825
統計: A(0), B(26), C(13), D(6), E(0) #1054825
詳解 (共 3 筆)
#3943746
Early in the course of syphilis, the most common forms of neurosyphilis involve the cerebrospinal fluid, meninges, and vasculature (asymptomatic meningitis, symptomatic meningitis, and meningovascular disease). Late in disease, the most common forms involve the brain and spinal cord parenchyma (general paralysis of the insane and tabes dorsalis). Each form has characteristic clinical findings, but in some cases there is overlap between these findings.
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#4047234


Neuroimaging of neurosyphilis generally is not very specific and thus is of limited value in making a diagnosis. Our MRI/CT finding in patients (Figure 1) was mainly focal atrophy in one or multiple cerebral regions, especially in the frontal and temporal lobes, seldom in the occipital lobe and cerebellum, which was consistent with others’ reports.
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