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麻痹性痴呆(genermal paresis of the insan,GPI)为神经梅毒最严重的一种类型,具有潜伏期长、临床表现不典型及误诊率高的特点,应引起足够重视。现将我科收治的1例多次误诊的GPI病例报告如下。1资料患者男,46岁,个体,主因右侧肢体抖动,反应迟钝1年,右侧肢体无力2.5 h于2013年11月16日入住神经内科。于1年前无诱因患者出现右侧肢体抖动,反应迟钝,曾就诊于多家三级甲等医院,诊断为“抑郁症”、“精神分裂1
Paralytic dementia (GPI) is the most serious type of neurosyphilis, which has the characteristics of long latency, atypical clinical manifestations and high misdiagnosis rate, which should be paid enough attention to. Now in our department received a case of multiple misdiagnosed GPI cases are as follows. 1 Data Male, 46 years old, individual, mainly due to the right limb jitter, unresponsive for 1 year, right limb weakness 2.5 h on November 16, 2013 admitted to neurology. One year ago, there was no incentive in patients with right limb jitter, unresponsive, had visited a number of three Grade A hospitals, diagnosed as ”depression “, ”schizophrenia