Abstract

Neurosyphilis is an infection of central nervous system caused by treponema pallidum and may present with neuropsychiatric symptoms. Cranial MR imaging of patients rarely revealed signal abnormalities on temporal areas like as herpes simplex encephalitis. 42-years old woman was admitted to our clinic with generalized tonic-klonic convulsion and psychotic symptoms. Cranial MR on T2 and şair weighted images revealed bilaterally temporal area hyperintensities identical as herpes simplex encephalitis. After penicilin therapy the symptoms and MRI lesions has disappeared.

Key words: Neurosyphilis, psychosis, atypical MR findings