脑膜血管型神经梅毒的TCD表现

目的探讨TCD对脑膜血管型神经梅毒的检测价值。方法利用TCD检测因急性脑卒中就诊的神经梅毒患者(检查组,25例)颅内血管情况,了解血管狭窄及闭塞率以及血管顺应性指标,并与同期有高血压、糖尿病或吸烟史的非梅毒性急性脑卒中住院患者(对照组,30例)比较。结果检查组25例检出16例共20条血管狭窄或闭塞,对照组30例检出20例共24条血管狭窄或闭塞,二者比较差异无显著性,而代表血管顺应性指标(频谱形态和PI值)差异有显著性。结论TCD在诊断脑膜血管型神经梅毒方面无特异性,但在无明显动脉硬化表现而有血管狭窄或闭塞时对神经梅毒的诊断有提示作用。

Transcranial Doppler sonography Appearance of Mening-vessel Neurosyphilis

Objective To research detection value of transcranial doppler sonography for mening-vessel neurosyphilis. Methods Acute stroke patients with mening-vessel neurosyphilis(patients group,25 case)and none-with mening-vessel neurosyphilis but with hypertension, diabetes mellitus or smoking history(control group,30 case)were recruited in our study,their angiostenosis and obstruct rate and vessel compliance index were detected by transcranial doppler sonography. Results Total 20 vessels of 16 case in patients group were angiostenosis or obstruct, total 24 vessels of 20 cases in control group were angiostenosis or obstruct, there existed no difference between these 2 groups, but the vessel compliance index(spectra shape and PI value)existed difference between 2 groups. Conclusions Their exist no specificity for diagnosing inching-vessel neurosyphilis, but it is a cue for diagnosing inching-vessel neurosyphilis patients with angiostenosis or obstruct but no with angiosclerosis appearance.