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Abstract. Tabes dorsalis is a late manifestation of untreated syphilis that is characterized by ataxia, lancinating pains

BACKGROUND:

Tabes dorsalis is a late manifestation of untreated syphilis that is characterized by ataxia, lancinating pains, and urinary incontinence. A form of tertiary syphilis or neurosyphilis, it is the result of slow, progressive degeneration of the nerve cells in the spinal cord.

METHOD:

Case report.

FINDINGS:

A 39-year-old man presented with tingling paresthesia in the lower limbs, difficulty in walking, and loss of vision. Magnetic resonance imaging (MRI) of the dorsal spine showed intramedullary hyperintensity and cord atrophy, similar to changes seen in subacute combined degeneration. MRI features of tabes dorsalis have not been described previously to the best of our knowledge.

CONCLUSION:

MRI findings in this patient with tabes dorsalis were similar to those seen in subacute combined degeneration, which is characterized predominantly by cord atrophy and intramedullary hyperintensities.

Neurol Sci. 2011 Dec 24. [Epub ahead of print]

A case report and DSA findings of cerebral hemorrhage caused by syphilitic vasculitis.

Zhang X, Xiao GD, Xu XS, Zhang CY, Liu CF, Cao YJ.

Source

The Department of Neurology, The Second Affiliated Hospital of Soochow University, No. 1055 Sanxiang Road, Suzhou City, 215000, Jiangsu Province, People's Republic of China.

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