Summary
The case of a syphilitic gumma in the cerebellopontine angle is reported. The angiographic appearance of neurosyphilis is similar to that of cerebral inflammatory processes of all varieties. The hypervascularity of the blush shown on angiography is due to hyperemia surrounding the focal necrosis. Vasoconstriction and dilatation may be seen with meningovascular syphilis and gummata. This case showed a focal hypervascularized lesion unlike the avascular lesions described in the textbooks.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Anderson, W. ed.: Pathology. pp. 1323–1325 St. Louis: Mosby 1953
Bagdasar, D.: Le traitement chirurgical des gommes cerebrales. Rev. neurol. 2, 1–30 (1929)
Bailey, P.: Intracranial tumors. Springfield, Ill.: Thomas 1933
Bianchi, M., Frera, C.: A case of brain gumma. J. Neurol. Neurosurg. Psychiat. 20, 133–135 (1957)
Cushing, H.: Intracranial tumors. Springfield, Ill.: Thomas 1932
Dale, A. J. D.: The cerebellopontine angle syndrome. Med. Cl. NA. 52, 789–795 (1968)
Dandy, W. E.: Surgery of the brain. pp. 367–369. Hagerstown, Md.: Prior 1945
Fabing, H.: Neurosyphilis — a review. Lancet 75, 346–347 (1955)
Ferris, E. J.: Arteritis. Radiology of the skull and brain, Voll. II, Bk 4, 2566–2577. Newton, T. H., Potts, D. G., eds. St. Louis: Mosby 1974
Ferris, E. J.: Rudikoff, J. C., Shapiro, J. H.: Cerebral angiography of cerebral infection. Radiology 90, 727–737 (1968)
Histselberger, W. E.: Other tumors of the cerebellopontine angle. Arch Otolaryng. 88, 712–714 (1968)
Joffe, R., Black, M. M., Floyd, M.: Changing clinical picture of neurosyphilis — report of seven unusual cases. Brit. med. J. 1, 211–212 (1968)
Lagerren, C., Lindbom, A., Soderberg, G.: Hypervascularization in chronic inflammation demonstrated by angiography —angiographic, histopathologic and micro-angiographic studies. Acta radiol. 49, 441–452 (1958)
Leeds, N. E., Goldberg, H. I.: Angiographic manifestation in cerebral inflammatory disease. Radiology 98, 595–604 (1971)
Moscow, N. P., Newton, T. H.: Angiographic features of hypervascular neuromas of the head and neck. Radiology 114, 635–640 (1975)
Obrador, S.: Tuberculoma and syphilitic gumma. Textbook of neurological surgery. Youmans, J. R., ed. pp. 1569–1573. Philadelphia: Saunders 1973
Olivercrona, H.: The surgical treatment of intracranial tumor. Handbuch der Neurochirurgie, Vol. 4, Part 4. Berlin, Heidelberg, New York: Springer 1967
Rabinov, K. R.: Angiographic findings in a case of brain syphilis. Radiology 80, 622–624 (1963)
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Tsai, F.Y., Schilp, A.O. & Leo, J.S. Angiographic findings with an intracranial gumma. Neuroradiology 13, 1–5 (1977). https://doi.org/10.1007/BF00335028
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF00335028