, Volume 47, Issue 9, pp 664–667 | Cite as

Differential diagnosis of mesiotemporal lesions: case report of neurosyphilis

  • A. Vieira SantosEmail author
  • S. Matias
  • P. Saraiva
  • A. Goulão
Diagnostic Neuroradiology


We report a clinical and imaging case of suspected herpes simplex encephalitis subsequently diagnosed as neurosyphilis based on positive antibodies in the CSF. MRI of the brain showed cortical and subcortical lesions in the mesial temporal region, septal area, insula and cingulated gyrus of the right cerebral hemisphere. Neurosyphilis should be included in the differential diagnosis of mesial temporal region lesions on MRI.


Neurosyphilis Mesial temporal lesions MRI 


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Copyright information

© Springer-Verlag 2005

Authors and Affiliations

  • A. Vieira Santos
    • 1
    Email author
  • S. Matias
    • 1
  • P. Saraiva
    • 1
  • A. Goulão
    • 1
  1. 1.Neuroradiology DepartmentGarcia de Orta HospitalAlmadaPortugal

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