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这是神经梅毒造成的。This is caused by neurosyphilis.

神经梅毒的诊断目前尚无金标准。There is no golden standard available now in diagnosing neurosyphilis.

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目的分析神经梅毒的临床特征及提供早期诊断依据。Objective To analyse the clinical features of neurosyphilis in order to help early diagnosis.

经由广泛的实验室评估，确定神经性梅毒及糖尿病的诊断。An extensive laboratory evaluation confirmed the diagnosis of neurosyphilis and diabetes mellitus.

结论部分RPR持续阳性梅毒患者存在无症状神经梅毒，可能是RPR持续阳性的原因之一。Conclusion Asymptomatic neurosyphilis in some patients may be one of causes of persisting positive RPR.

目的探讨MRI在诊断脑膜血管型神经梅毒中的价值与限度。Objective To evaluate the value and limitation of MRI in the diagnosis of meningovascular neurosyphilis.

目的探讨合并神经梅毒病灶的颅脑手术临床特点。Objective To explore the clinical characteristics of craniocerebral surgery in the patients with neurosyphilis.

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本文提供了3例以精神症状为主要临床表现的神经梅毒，患者为过去一年在浙二医院精神科住院的病人。Here we present three cases of neurosyphilis diagnosed in the second affiliated hospital of zhejiang University of last year.

目的本文通过分析脑神经梅毒的分型及临床特点，为早期诊断及减少误诊提供帮助。Objective To analyze the typing and clinical characteristics of neurosyphilis of brain and provide evidences to improve early diagnostic.

目的观察RPR持续阳性梅毒患者无症状神经梅毒的发生情况，并探讨其临床意义。Objective To investigate the prevalence of asymptomatic neurosyphilis in patients with persisting positive RPR and its clinical significance.

结论神经梅毒的诊断应结合临床表现、实验室及影像学检查综合分析，争取早期诊断、早期治疗以改善预后。Specific change was not found on the CT and MRI of cranium. Conclusion Initial symptoms of neurosyphilis have various patterns of manifestation.

结论神经梅毒的临床特征没有特异性，误诊率高，临床表现、实验室及影像学检查是其诊断的重要依据。Conclusion Neurosyphilis has a high misdiagnosis rate, and its diagnosis depends on clinical manifestations, laboratory and imaging examinations.

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目的比较几种诊断方法对无症状神经梅毒的诊断意义。Objective To analyze the significance of several methods in diagnosis of neurosyphilis for understanding the incidence of asymptomatic neurosyphilis.

癫痫发作和局部神经功能缺损可能是神经性梅毒的并发症，但是以癫痫重积状态为初始症状表现仍是相当罕见的。Seizures and focal neurologic deficits may be the complications of neurosyphilis, but status epilepticus as a presenting picture of neurosyphilis is rare.

方法回顾性分析经临床和实验室检查确诊的3例神经梅毒患者的临床资料和有关资料。Methods A retrospective analysis in 3 cases of neurosyphilis diagnosed by clinical and laboratory examinations was focused on their clinical manifestations.

临床上遇到以帕金森综合征的患者，应综合分析实验室、脑电图及影像学等检查结果，考虑到神经梅毒的可能性。When patients present with Parkinsonism, we should comprehensively analyze the laboratory examinations, EEG and neuroimaging to rule out the possibility of neurosyphilis.

结论喹硫平能安全且有效改善神经梅毒伴发的精神行为症状，需要进一步的随机对照临床试验方能推广。Conclusion Quetiapine is safe and effective during the treatment of behavioral and psychological symptoms of neurosyphilis. But further randomized controlled trial is needed.

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结果所有病例术后病理诊断均为间质型神经梅毒，其中包括1例脑膜梅毒和2例脑膜血管梅毒。Results All patients were diagnosed as interstitial neurosyphilis by pathological examination after operation. Meningeal syphilis was found in 1 case and meningovascular syphilis in 2 cases.