Abstract:
STUDY DESIGN:The study has been designed as a case report. OBJECTIVE:The objective of this study was to report a rare case of syringomyelia in a patient with syphilitic spinal meningitis. SETTING:The Neurology Department, University Hospital Mohamed VI Marrakesh, Morocco. CASE REPORT:A 40-year-old Moroccan male presented with the complaints of weakness of the lower extremities. Neurological examinations confirmed the motor dysfunction of the lower extremities and revealed a sensory loss to the T2-T4 dermatome. The magnetic resonance imaging (MRI) scan detected a hypointense signals on the T1 sequences and hyperintense signals on T2 in the cord extending from C7 to T4. The condition was diagnosed as dorsal syringmyelia. Blood and cerebrospinal fluid were positive for Venereal Disease Research Laboratory and Treponema pallidum hemagglutination tests. The patient was treated with intravenous penicillin therapy with a significant improvement in motor deficit. After 2 years, his neurological deficit was limited to a mild weakness of the distal right leg. CONCLUSION:A case of syphilitic spinal meningitis presenting with syringomyelia, and effectively treated with penicillin has been described.
journal_name
Spinal Cordjournal_title
Spinal cordauthors
Mebrouk Y,Chraa M,McMaughey C,Kissani Ndoi
10.1038/sc.2010.184subject
Has Abstractpub_date
2011-06-01 00:00:00pages
757-60issue
6eissn
1362-4393issn
1476-5624pii
sc2010184journal_volume
49pub_type
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