RESUMEL'encéphalite limbique syphilitique est une affection rare et son incidence est inconnue nous rapportons l'observation deux patients hospitalisés pour troubles du comportement, troubles de mémoire et crises épileptiques, l'IRM cérébrale montrait un hypersignal sur les séquences pondérées en T2 et FLAIR des régions temporo-limbiques, la sérologie de la syphilis fut positive dans le sang et le LCR. Le diagnostic d'encéphalite limbique syphilitique fut retenu sur un ensemble d'arguments clinique, biologique et radiologique. Le traitement spécifique de la neurosyphilis a permis une amélioration de l'état neurologique des deux patients.
SUMMARYA specific aetiology of limbic encephalitis: neurosyphilis (about two cases) Syphilitic limbic encephalitis is a rare clinical entity; we report two cases presenting seizures, behaviour disturbance and loss of memory. Cerebral MRI revealed hyper intensity on T2 and FLAIR in the temporo-limbic regions. The serology tests of syphilis were positive in blood and cerebrospinal fluid. The diagnosis of limbic encephalitis secondary to syphilis was made considering clinical, biological and radiological arguments. Specific treatment of neurosyphilis was followed by neurological improvement.
Introduction: Dental migrations following periodontal pathology may lead to significant aesthetic and functional complaints. In this case report, the presence of evident gingival recessions and mandibular crowding pushed us to opt for an ortho-periodontal multidisciplinary treatment plan, using extractions and incisive repositioning. Through this, we ensured tissue gain at the level of the superficial and deep periodontitis, thus avoiding the use of periodontal surgery.Clinical Case: A Moroccan 26-years-old female medical secretary who, being very concerned about her appearance and facial aesthetics, presented with pathological dental migrations following severe periodontitis, an unsatisfactory periodontal status, a clear mandibular crowding of the anterior inter-incisive diastemas, gingival recessions, attachment losses and quite large pocket depths with advanced bone resorptions in different areas. This required a specific multidisciplinary approach aiming at creating a healthy and well-structured periodontal environment through extensive periodontal treatment, combined with regular plaque control, and supplemented by an orthodontic treatment using extractions and incisive repositioning in order to avoid any vestibular movement that may worsen the recessions and will require possible overlapping. After 22 months of combined treatment, a stable occlusion was obtained with class I molar and canine relationship, perfect dental alignment, healthy periodontal architecture and significant attachment gain and bone growth. In addition, the patient’s facial aesthetics and self-confidence have been significantly improved. Conclusion: The orthodontic treatment supplementing the meticulously planned periodontal therapy that was administered for this patient has helped to improve functionality, facial aesthetics as well as psychological self-confidence. However, it must be gradual with application of mild forces and constant control of the periodontal status, for optimal tissue response.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.