Neurosyphilis Presenting with Isolated Abducens Nerve Palsy.

IF 1 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

Internal Medicine Pub Date : 2025-03-15 Epub Date: 2024-08-08 DOI:10.2169/internalmedicine.4098-24

Taiji Mukai, Keiichi Hokkoku, Takatoshi Kitazawa, Hiroshi Oba, Yuki Hatanaka, Masahiro Sonoo, Shunsuke Kobayashi

引用次数: 0

Abstract

We herein report a case of neurosyphilis that presented with isolated bilateral abducens nerve palsy. A 39-year-old man was referred to our department with diplopia. He had a history of homosexual relationships and showed only bilateral abducens nerve palsy upon a neurological examination. Positive syphilis tests in the serum and cerebrospinal fluid and a contrasting effect on the abducens nerve on magnetic resonance imaging (MRI) confirmed the diagnosis of active neurosyphilis. When a patient manifests isolated abducens nerve palsy, neurosyphilis can be a differential diagnosis, although rare, and contrast-enhanced MRI may help diagnose the disease.

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一例神经梅毒伴孤立性弓状神经麻痹病例

我们在此报告一例以孤立性双侧外展神经麻痹为表现的神经梅毒病例。一名39岁的男子因复视转诊至我科。他有同性恋史，神经系统检查仅显示双侧外展神经麻痹。血清和脑脊液中梅毒检测呈阳性，磁共振成像（MRI）显示他的外展神经有对比效应，确诊为活动性神经梅毒。当患者表现为孤立的外展神经麻痹时，神经梅毒虽然罕见，但可以作为一个鉴别诊断，对比增强磁共振成像可以帮助诊断该疾病。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Internal Medicine 医学-医学：内科

CiteScore

1.90

自引率

8.30%

发文量

审稿时长

2.2 months

期刊介绍： Internal Medicine is an open-access online only journal published monthly by the Japanese Society of Internal Medicine. Articles must be prepared in accordance with "The Uniform Requirements for Manuscripts Submitted to Biomedical Journals (see Annals of Internal Medicine 108: 258-265, 1988), must be contributed solely to the Internal Medicine, and become the property of the Japanese Society of Internal Medicine. Statements contained therein are the responsibility of the author(s). The Society reserves copyright and renewal on all published material and such material may not be reproduced in any form without the written permission of the Society.