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Case report: Cerebral syphilitic gumma: a case retrospective report of eight cases.
Front Med (Lausanne)
November 2024
Department of Neurosurgery, The Ganzhou Affiliated Hospital, Jiangxi Medical College, Nanchang University, Ganzhou, Jiangxi, China.
Background: Cerebral syphilitic gumma (CSG), a rare manifestation of neurosyphilis, presents characteristics akin to intracranial tumors, often leading to clinical misdiagnosis.
Objective: This study aimed to summarize the clinical experience in diagnosing and treating CSG.
Materials And Methods: The present study conducted a retrospective analysis of clinical data, encompassing the baseline characteristics, clinical presentation, diagnosis, treatment, and prognosis of eight patients with CSG who were treated and diagnosed by our institution.
Contribution of advanced neuroimaging in diagnosis of cerebral syphilitic gumma: a case report.
Front Neurosci
August 2024
Department of Radiology, Affiliated Hospital of Medical School, Nanjing Drum Tower Hospital, Nanjing University, Nanjing, China.
Article Synopsis
- Cerebral syphilitic gumma is a rare infection in the brain that is difficult to diagnose without a known history of syphilis or thorough blood tests, as traditional MRI scans may not provide clear indications.
- A case involving a 68-year-old man with hearing loss and headaches led to a diagnosis of cerebral syphilitic gumma after lab tests came back positive, and surgery was performed to remove a nodule found in his brain.
- The rising incidence of syphilis makes it crucial to accurately identify cerebral syphilitic gumma, and advanced neuro-MRI techniques could significantly enhance diagnosis beyond what conventional MRIs can achieve.
Exploration of postural effects on the external jugular and diploic venous system using upright computed tomography scanning.
Neuroradiology
June 2024
Department of Radiology, School of Medicine, Keio University, Shinjuku, Tokyo, Japan.
Article Synopsis
- This study examined how different body postures (supine vs. sitting) affect the size of external jugular tributaries and diploic veins in the head using upright CT imaging.
- Results showed that external jugular tributaries significantly collapsed and reduced in size by 22-49% when sitting, while most diploic veins increased or stayed the same in size (by 12-101%).
- Understanding these changes can improve our knowledge of venous drainage in the head and may have implications for medical conditions related to posture.
Cerebral syphilitic gumma misdiagnosed as brain abscess: A case report.
World J Clin Cases
January 2024
Department of Neurosurgery, Shengli Oilfield Central Hospital, Dongying 257099, Shandong Province, China.
Article Synopsis
- Cerebral syphilitic gumma is a rare condition often mistaken for brain tumors or abscesses due to its non-specific symptoms and similar imaging results.
- A reported case involved a patient initially misdiagnosed with a brain abscess, leading to unnecessary surgery until a correct diagnosis of syphilitic gumma was made post-operation.
- To improve diagnostic accuracy, it’s crucial for physicians to recognize the characteristics of neurosyphilis and combine multiple examination methods in their assessments.
Post Cryptococcal Moyamoya Syndrome in Adult Human Immunodeficiency Virus Patient With Anterior and Posterior Circulation Involvement: Case Report.
Cureus
August 2023
Neuroradiology, Ascension Providence Hospital, Michigan State University College of Human Medicine (MSUCHM), Southfield, USA.
Moyamoya disease (MMD) is a rare idiopathic progressive vaso-occlusive disease characterized by irreversible vascular occlusion and collateral development of distal internal carotid arteries. Initially perceived as an exclusive entity to the East Asian population, the disease is now being reported globally, affecting individuals of diverse ethnicities. We present a case of a 55-year-old African American male patient with human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) and a prior history of cryptococcal meningitis presenting to the emergency department with recurrent episodic headaches, which was refractory to routine medical therapy.
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