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Symmetric syphilitic gummas of the frontal lobes
Authors:G. Pilleri  A. Lechi  M. Carreras
Affiliation:(1) Brain Anatomy Institute of the Psychiatric Clinic, University of Berne, Switzerland;(2) Clinica malattie nervose e mentali dell'Università di Parma, Italy;(3) Clinica malattie nervose e mentali dell'Università di Sassari, Italy
Abstract:Summary An anatomo-clinical observation of symmetrical syphilitic gummas in the frontal lobes is described and some problems related to the endocranial localization of syphilitic gummas are reviewed.The difficulty establishing a differential clinical diagnosis between cerebral syphilitic gumma and other intracranial neoformations is discussed. Neuro-surgical intervention is still essential for a syphilitic gumma.ldquoTentativerdquo specific medical treatment is usually ineffective and entails serious risks. Post-operative specific medical treatment (following histological confirmation) is recommended since parenchymal inflammation and syphilitic arteritis can be improved.
Keywords:Gumma, Syphilitic, Endocranial  Clinic and Pathology
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