Ann Rehabil Med.  2012 Jun;36(3):423-427. 10.5535/arm.2012.36.3.423.

Dementia due to Meningovascular Syphilis in Medial Temporal Lobe and Cognitive Rehabilitation

Affiliations
  • 1Department of Physical Medicine and Rehabilitation, Hallym University College of Medicine, Anyang 431-070, Korea. ohnsh@hallym.ac.kr

Abstract

The temporal lobe is essential in saving declarative memory and plays an important role along with the cerebral neocortex in creating and maintaining long-term memory. Damage to the temporal lobe is expected to result in cognitive impairment or dementia, which has characteristic symptoms such as cognitive and behavioral dysfunction and decreasing self-reliance in activities of daily living. We report on a patient, who suffered from dementia due to meningovascular syphilis affecting the medial temporal lobe, and on the outcome of cognitive rehabilitation.

Keyword

Dementia; Meningovascular syphilis; Cognitive rehabilitation

MeSH Terms

Activities of Daily Living
Dementia
Humans
Memory
Memory, Long-Term
Neocortex
Syphilis
Temporal Lobe

Figure

  • Fig. 1 MRI performed before and after cerebellar meningioma removal operation. (A) T1 MRI that shows signal change noted in both medial temporal lobe and left cerebellar hemisphere. The lesions in the bilateral medial temporal lobe are neurosyphilis, and the lesion in the left cerebellar hemisphere is a meningioma (white arrows). (B) T2 MRI that shows cerebral infarction with hemorrhagic transformation in left temporal lobe.


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