What are the examination items for neurosyphilis?

Neurosyphilis is a disease caused by Treponema pallidum (Treponema pallidum) infecting the nervous system. It is divided into two types: congenital and acquired syphilis. So, what are the examination items for neurosyphilis?

laboratory tests

1。Asymptomatic neurosyphilis showed a positive serological syphilis test and abnormal changes in CSF examination.

2。All patients with meningoneurosyphilis had positive serum VDRL. Lumbar puncture examination showed an elevated CSF pressure, mild turbidity, moderate increase in cell number, about (100 - 300) ×106/L, a slight increase in protein, and a slight decrease in sugar content in some patients. About 90% of CSF-VDRL were positive, and FTA-ABS was positive.

3。In patients with vascular neurosyphilis, serum VDRL was positive, CSF pressure was mostly normal horse cock dildo , white blood cells were below (100 - 200) ×106/L, mainly lymphocytes, protein content was slightly increased or normal, and FTA-ABS in blood and CSF were positive.

4。70% to 80% of the blood and cerebrospinal fluid VDRL cases were both positive, and the FTA-ABS reactions in both blood and cerebrospinal fluid were positive. In early patients panty vibrator , CSF monocytes were slightly or moderately increased, and protein content was also increased. In the late stage, the number of cells was mostly below 50×106/L, and lymphocytes were still dominant.

5。The serum VDRL test in patients with paralysis was almost positive. The cerebrospinal fluid pressure was basically normal. The number of cells was mostly (10 - 50) ×106/L. The main ones were lymphocytes. The protein was increased, and sugar and chloride were normal. The cerebrospinal fluid VDRL was 100% positive. Both blood and cerebrospinal fluid FTA-ABS were positive.

6。Both blood and cerebrospinal fluid syphilis tests for congenital neurosyphilis are positive, and the number of cells and protein in the cerebrospinal fluid can increase slightly or moderately, and IgG can also increase.

imaging examination

Imaging examination of vascular neurosyphilis: Brain CT showed single or several small low-density infarcts in the diseased brain tissue, and cerebral angiography showed diffuse irregular stenosis in the affected cerebral artery, suggesting that there is inflammatory proliferation in the intima of the blood vessel at a certain distance.

The following examinations are of differential diagnostic significance: CT, MRI; EEG; skull base photography; fundus examination.

Select necessary and selective examinations based on possible causes:

1。Blood routine, blood biochemistry magic wand vibrator , electrolytes.

2。Blood sugar and immunization items have diagnostic significance.
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