AIDS与非AIDS患者神经梅毒影像表现对比分析

doi:10.3969/j.issn.1006-7795.2016.04.009

首都医科大学学报 ›› 2016, Vol. 37 ›› Issue (4): 460-464.doi: 10.3969/j.issn.1006-7795.2016.04.009

• 感染与炎性反应放射学 • 上一篇下一篇

AIDS与非AIDS患者神经梅毒影像表现对比分析

李莉, 李宏军, 任美吉, 赵晶

首都医科大学附属北京佑安医院放射科, 北京 100069

收稿日期:2016-06-03 出版日期:2016-08-21 发布日期:2016-07-18
通讯作者: 李宏军 E-mail:lihognjun00113@126.com
基金资助:
国家自然科学基金（81571634），北京市医院管理局临床医学发展专项（ZYLX201511）。

Analysis and comparison of radiographic characteristics of neurosyphilis in patients with and without AIDS

Li Li, Li Hongjun, Ren Meiji, Zhao Jing

Department of Radiology, Beijing Youan Hospital, Capital Medical University, Beijing 100069, China

Received:2016-06-03 Online:2016-08-21 Published:2016-07-18
Supported by:
This study was supported by National Natural Science Foundation of China(81571634),Beijing Municipal Administration of Hospital Clinical Medicine Development of Special Funding Support(ZYLX201511).

摘要/Abstract

摘要： 目的探讨神经梅毒的影像学表现，分析获得性免疫缺陷综合征（acquired immune deficiency syndrome，AIDS）与非AIDS患者合并神经梅毒影像学特点。方法回顾性对照分析8例AIDS合并神经梅毒与23例非AIDS合并神经梅毒的影像学表现，比较二者影像表现的差别，并进行统计学分析。结果脑炎16例，脑萎缩13例，脑梗死8例，脑膜炎7例，树胶肿1例，头颅CT或磁共振成像（magnetic resonance imaging，MRI）正常3例。14例表现为多种形式病变并存，脑炎为主要改变。AIDS组和非AIDS组的影像学表现差异无统计学意义（P>0.05）。结论神经梅毒的影像表现多种多样，基本影像表现有脑炎、脑萎缩、脑梗死、脑膜炎以及树胶肿等改变。

关键词: 神经梅毒, 磁共振成像, 获得性免疫缺陷综合征

Abstract: Objective To analyze and compare radiographic characteristics of neurosyphilis in patients with and without acquired immunodeficiency syndrom (AIDS) radiographic characteristics. Methods CT and MRI findings were analyzed retrospectively in 8 cases of AIDS with neurosyphilis and 23 cases without AIDS neurosyphilis, the differences of imaging findings were compared between the two groups. Results There were 16 cases with encephalitis, 13 cases with brain atrophy, 8 cases with cerebral infarction, 7 cases with meningitis, 1 case with cerebral gumma, 3 cases with normal imaging findings; Fourteen cases showed the coexistence of various forms of lesions, encephalitis was the main change. There was no statistically significant difference in imaging findings between the two groups. Conclusion The imaging appearance of neurosyphilis is various. Imaging appearance of neurosyphilis include encephalitis, brain atrophy, cerebral infarction, meningitis and cerebral gumma.

Key words: neurosyphilis, magnetic resonance imaging, acquired immunodeficiency syndrome

中图分类号:

R759.1

李莉, 李宏军, 任美吉, 赵晶. AIDS与非AIDS患者神经梅毒影像表现对比分析[J]. 首都医科大学学报, 2016, 37(4): 460-464.

Li Li, Li Hongjun, Ren Meiji, Zhao Jing. Analysis and comparison of radiographic characteristics of neurosyphilis in patients with and without AIDS[J]. Journal of Capital Medical University, 2016, 37(4): 460-464.

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AIDS与非AIDS患者神经梅毒影像表现对比分析

Analysis and comparison of radiographic characteristics of neurosyphilis in patients with and without AIDS

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