Neurosyphilis versus Herpes Encephalitis in a Patient with Confusion, Memory Loss, and T2-Weighted Mesiotemporal Hyperintensity

Acute confusion and memory loss associated with asymmetrical mesiotemporal hyperintensity on T2-weighted MRI are characteristic of herpes encephalitis. The authors report the case of a patient with these symptoms and MRI presentation who had neurosyphilis. Recently clinical and imaging patterns usua...

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Main Authors: Elisa Vedes, Ana Filipa Geraldo, Rita Rodrigues, Sofia Reimão, Alice Ribeiro, Francisco Antunes
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Infectious Diseases
Online Access:http://dx.doi.org/10.1155/2012/154863
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author Elisa Vedes
Ana Filipa Geraldo
Rita Rodrigues
Sofia Reimão
Alice Ribeiro
Francisco Antunes
author_facet Elisa Vedes
Ana Filipa Geraldo
Rita Rodrigues
Sofia Reimão
Alice Ribeiro
Francisco Antunes
author_sort Elisa Vedes
collection DOAJ
description Acute confusion and memory loss associated with asymmetrical mesiotemporal hyperintensity on T2-weighted MRI are characteristic of herpes encephalitis. The authors report the case of a patient with these symptoms and MRI presentation who had neurosyphilis. Recently clinical and imaging patterns usually associated with herpes simplex encephalitis have been seen in patients with neurosyphilis. Because syphilis is “The Great Pretender” not only clinically but also in imaging and because its numbers are rising, it must be sought as a differential diagnosis.
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institution Kabale University
issn 2090-6625
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language English
publishDate 2012-01-01
publisher Wiley
record_format Article
series Case Reports in Infectious Diseases
spelling doaj-art-756cb3c2e97f4ca7a24edc77c66f6cae2025-02-03T06:12:07ZengWileyCase Reports in Infectious Diseases2090-66252090-66332012-01-01201210.1155/2012/154863154863Neurosyphilis versus Herpes Encephalitis in a Patient with Confusion, Memory Loss, and T2-Weighted Mesiotemporal HyperintensityElisa Vedes0Ana Filipa Geraldo1Rita Rodrigues2Sofia Reimão3Alice Ribeiro4Francisco Antunes5Internal Medicine Department, Centro Hospitalar Lisboa Norte, EPE, 1649-035 Lisbon, PortugalNeuroradiology Department, Centro Hospitalar Lisboa Norte, EPE, 1649-035 Lisbon, PortugalInfectious Diseases Department, Centro Hospitalar Lisboa Norte, EPE, 1649-035 Lisbon, PortugalNeuroradiology Department, Centro Hospitalar Lisboa Norte, EPE, 1649-035 Lisbon, PortugalInfectious Diseases Department, Centro Hospitalar Lisboa Norte, EPE, 1649-035 Lisbon, PortugalInfectious Diseases Department, Centro Hospitalar Lisboa Norte, EPE, 1649-035 Lisbon, PortugalAcute confusion and memory loss associated with asymmetrical mesiotemporal hyperintensity on T2-weighted MRI are characteristic of herpes encephalitis. The authors report the case of a patient with these symptoms and MRI presentation who had neurosyphilis. Recently clinical and imaging patterns usually associated with herpes simplex encephalitis have been seen in patients with neurosyphilis. Because syphilis is “The Great Pretender” not only clinically but also in imaging and because its numbers are rising, it must be sought as a differential diagnosis.http://dx.doi.org/10.1155/2012/154863
spellingShingle Elisa Vedes
Ana Filipa Geraldo
Rita Rodrigues
Sofia Reimão
Alice Ribeiro
Francisco Antunes
Neurosyphilis versus Herpes Encephalitis in a Patient with Confusion, Memory Loss, and T2-Weighted Mesiotemporal Hyperintensity
Case Reports in Infectious Diseases
title Neurosyphilis versus Herpes Encephalitis in a Patient with Confusion, Memory Loss, and T2-Weighted Mesiotemporal Hyperintensity
title_full Neurosyphilis versus Herpes Encephalitis in a Patient with Confusion, Memory Loss, and T2-Weighted Mesiotemporal Hyperintensity
title_fullStr Neurosyphilis versus Herpes Encephalitis in a Patient with Confusion, Memory Loss, and T2-Weighted Mesiotemporal Hyperintensity
title_full_unstemmed Neurosyphilis versus Herpes Encephalitis in a Patient with Confusion, Memory Loss, and T2-Weighted Mesiotemporal Hyperintensity
title_short Neurosyphilis versus Herpes Encephalitis in a Patient with Confusion, Memory Loss, and T2-Weighted Mesiotemporal Hyperintensity
title_sort neurosyphilis versus herpes encephalitis in a patient with confusion memory loss and t2 weighted mesiotemporal hyperintensity
url http://dx.doi.org/10.1155/2012/154863
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