Journal of Korean Neurosurgical Society

  • 제53권3호
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  • Pages.197-200
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  • 2013
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
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Cerebral Syphilitic Gumma Mimicking a Brain Tumor in the Relapse of Secondary Syphilis in a Human Immunodeficiency Virus-Negative Patient

  • Yoon, Young Kyung (Division of Infectious Diseases, Department of Internal Medicine, Korea University College of Medicine) ;
  • Kim, Min Ja (Division of Infectious Diseases, Department of Internal Medicine, Korea University College of Medicine) ;
  • Chae, Yang Seok (Division of Infectious Diseases, Department of Pathology, Korea University College of Medicine) ;
  • Kang, Shin-Hyuk (Division of Infectious Diseases, Department of Neurosurgery, Korea University College of Medicine)
  • 투고 : 2012.09.20
  • 심사 : 2013.02.25
  • 발행 : 2013.03.28
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초록

Diagnosis of cerebral syphilitic gumma is frequently determined at the time of surgery, because imaging and laboratory findings demonstrate the elusive results. A 59-year-old woman presenting dysarthria showed a mass on her brain computed tomography. She was first suspected of brain tumor, but histological results from surgical resection revealed cerebral gumma due to neurosyphilis. After operation, she presented fever and rash with an infiltration on a chest X-ray. Histological assessment of skin was consistent with syphilis. Fluorescent treponemal antibody absorbed test IgG in cerebrospinal fluid was positive. She was successfully treated with ceftriaxone for 14 days.

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참고문헌

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피인용 문헌

  1. Cerebral Gumma Mimicking a Brain Tumor in a Human Immunodeficiency Virus-Negative Patient: A Case Report vol.69, pp.3, 2013, https://doi.org/10.3348/jksr.2013.69.3.181
  2. Meningovascular and Spinal form of Neurosyphilis Presenting as Multiple Cranial Nerve Palsy, Cerebral Infarction and Meningomyelitis in a Human Immunodeficiency Virus Negative-Patient: MR Imaging Feat vol.18, pp.3, 2013, https://doi.org/10.13104/jksmrm.2014.18.3.263
  3. Unusual Presentation of Secondary Syphilis in Korea: 2010-2014 Review vol.10, pp.1, 2015, https://doi.org/10.14777/kjutii.2015.10.1.19
  4. Changes in neurosyphilis presentation: a survey on 286 patients vol.30, pp.11, 2013, https://doi.org/10.1111/jdv.13753
  5. Diagnosis and Treatment of Cerebral Syphilitic Gumma: A Report of Three Cases vol.12, pp.None, 2013, https://doi.org/10.3389/fnins.2018.00100
  6. A case of secondary syphilis with pulmonary involvement and review of the literature vol.29, pp.10, 2013, https://doi.org/10.1177/0956462418765834
  7. Multiple intracranial and spinal cord syphilitic gummas in a human immunodeficiency virus-negative man with untreated syphilis : A case report vol.98, pp.36, 2019, https://doi.org/10.1097/md.0000000000016887
  8. Diagnosis and Treatment of Spinal Syphilitic Gumma: A Case Report vol.10, pp.None, 2019, https://doi.org/10.3389/fneur.2019.01352
  9. Re-emerging Neurosyphilis in Korea as a Possible Etiology of Psychotic Disorders with Pleomorphic Symptoms and Cognitive Dysfunction: a Case Report and Literature Review vol.35, pp.33, 2013, https://doi.org/10.3346/jkms.2020.35.e271
  10. Case Report: Microglia Composition and Immune Response in an Immunocompetent Patient With an Intracranial Syphilitic Gumma vol.11, pp.None, 2013, https://doi.org/10.3389/fneur.2020.615434
  11. Syphilitic Gummata in the Central Nervous System: A Narrative Review and Case Report about a Noteworthy Clinical Manifestation vol.9, pp.5, 2013, https://doi.org/10.3390/microorganisms9050906
  12. Meningovascular Syphilis Presenting as a Brain Mass in an Immunocompetent Male vol.8, pp.9, 2013, https://doi.org/10.1093/ofid/ofab455