3 result(s) search for keyword(s) 'Neurosyphilis'    

Neurosyphilis: a Clinico-Radiological Study / V. B. Patel 

Public ISBD Title : Neurosyphilis: a Clinico-Radiological Study Authors: V. B. Patel ; A. Motala, Author ; C. Connally, Author ; I. D. P. Burger, Author Publisher: Nairobi [Kenya] : Pan African Association of Neurological Sciences Publication Date: 2008 Series: African Journal of Neurological Sciences, ISSN 1992-2647 No. 27(1) Pagination: p.41-45, tab. Layout: Journal Article ISSN (or other code): 1015-8618 Languages : English Keywords: Neurosyphilis  Tabes Dorsalis  Tabetic  Syphilitic Meningomyelitis Abstract: Purpose. Neurosyphilis is an uncommon disease. Although syphilis may promote the transmission of HIV the converse may not be true. The neuro-radiology of neurosyphilis is limited to two case series and several case reports. Our series of patients were reviewed to describe the clinical and radiological findings. Method. A retrospective chart review from 1994 to 2005 was done and demographic; clinical; laboratory and radiological findings were extracted. Patients HIV status was also recorded. Patients who satisfied the criteria for the diagnosis of neurosyphilis with the exclusion of alternate diagnoses were included. Results. Fifty-three patients were evaluated but only 41 charts were available for review. Thirty-nine of these had radiological data. The clinical spectrum included asymptomatic patients; strokes; dementia; cranial nerve palsies; spinal cord syndromes and polyradiculopathy. Imaging changes included normal findings; infarcts; meningeal based mass lesions; spinal intra-medullary hyper-intensities; cranial nerve enhancement and intra-medullary enhancing mass lesions. There was no difference in CSF cellular or chemistry findings between those with neurosyphilis who were HIV positive and those who were HIV negative. Amongst the patients where follow up was available most improved regardless of HIV status. Conclusion. Neurosyphilis has protean manifestations and can affect any central neurological system. The pathogenesis varies from inflammatory mass lesions to vascular occlusion and inflammatory damage. Syphilis should be an aetiological consideration in any neurological presentation where another cause is not obvious. The radiological features are not specific and would be seen with many inflammatory aetiologies affecting the CNS. The CSF picture is similar regardless of HIV status and patients should be managed similarly regardless of their HIV status. Link for e-copy: http://dx.doi.org/10.4314/ajns.v27i1.7613 Neurosyphilis: a Clinico-Radiological Study [] / V. B. Patel ; A. Motala, Author ; C. Connally, Author ; I. D. P. Burger, Author . - Nairobi (Kenya) : Pan African Association of Neurological Sciences, 2008 . - p.41-45, tab. : Journal Article. - (African Journal of Neurological Sciences, ISSN 1992-2647; 27(1)) . ISSN : 1015-8618 Languages : English Keywords: Neurosyphilis  Tabes Dorsalis  Tabetic  Syphilitic Meningomyelitis Abstract: Purpose. Neurosyphilis is an uncommon disease. Although syphilis may promote the transmission of HIV the converse may not be true. The neuro-radiology of neurosyphilis is limited to two case series and several case reports. Our series of patients were reviewed to describe the clinical and radiological findings. Method. A retrospective chart review from 1994 to 2005 was done and demographic; clinical; laboratory and radiological findings were extracted. Patients HIV status was also recorded. Patients who satisfied the criteria for the diagnosis of neurosyphilis with the exclusion of alternate diagnoses were included. Results. Fifty-three patients were evaluated but only 41 charts were available for review. Thirty-nine of these had radiological data. The clinical spectrum included asymptomatic patients; strokes; dementia; cranial nerve palsies; spinal cord syndromes and polyradiculopathy. Imaging changes included normal findings; infarcts; meningeal based mass lesions; spinal intra-medullary hyper-intensities; cranial nerve enhancement and intra-medullary enhancing mass lesions. There was no difference in CSF cellular or chemistry findings between those with neurosyphilis who were HIV positive and those who were HIV negative. Amongst the patients where follow up was available most improved regardless of HIV status. Conclusion. Neurosyphilis has protean manifestations and can affect any central neurological system. The pathogenesis varies from inflammatory mass lesions to vascular occlusion and inflammatory damage. Syphilis should be an aetiological consideration in any neurological presentation where another cause is not obvious. The radiological features are not specific and would be seen with many inflammatory aetiologies affecting the CNS. The CSF picture is similar regardless of HIV status and patients should be managed similarly regardless of their HIV status. Link for e-copy: http://dx.doi.org/10.4314/ajns.v27i1.7613

Mono-neuropathie multiple motrice aiguë révélant une neurosyphilis chez une patiente VIH négative A propos d’un cas / A. J. Mohamedghadhi 

Public ISBD Title : Mono-neuropathie multiple motrice aiguë révélant une neurosyphilis chez une patiente VIH négative A propos d’un cas Authors: A. J. Mohamedghadhi, Author ; M. Ndiaye, Author ; S. Mohamedlemine, Author ; M. Diagana, Author Publisher: La Seyne sur mer [France] : APIDPM Santé Tropicale Publication Date: 2016 Series: Médecine d'Afrique Noire, ISSN 0465-4668 No. 63(12) Pagination: p.603-606, tab. Layout: Journal Article ISSN (or other code): 0465-4668 Languages : French Keywords: Mononeuropathies  Neurosyphilis  Infections à VIH  Présentations de cas  Mauritanie Abstract: La mono-neuropathie multiple est une atteinte successive et simultanée de plusieurs troncs nerveux, et la syphilis est une Infection Sexuellement Transmissible (IST), qui a vu sa prévalence décroître significativement avec la penicillinothérapie intraveineuse. La neuro-syphilis est l’une des formes les plus sévères de cette pathologie, caractérisée par un polymorphisme clinique et par des troubles neurologiques chroniques non-spécifiques. Nous rapportons une manifestation rare à type mono-neuropathie multiplemotrice aiguë. Il s’agit d’une patiente de 19 ans hospitalisée dans le service de Neurologie du Centre Hospitalier Universitaire de Fann, pour paraplégie flasque d’installation rapidement progressive,sans antécédents particuliers dans le post-partum immédiat. La sérologie syphilitique notamment(TPHA, VDRL) était fortement positive dans le sang et le LCR. L’EMG avait mis en évidence une sévère neuropathie axonale motrice des membres inférieurs, asymétrique avec importante dénervation et des paramètres sensitifs normaux. L’évolution était favorable sous pénicilline G. La neurosyphilis reste une pathologie à laquelle il faut penser dans notre contexte, elle peut revêtir des aspects trompeur Contents note: Veuillez cliquer sur le lien ci-dessous et vous inscrire gratuitement pour accéder à cet article./ Please click on the link below and register for free access to this article Link for e-copy: http://www.santetropicale.com/manelec/fr/visio_oa.asp?id_article=2983&src=http:/ [...] Mono-neuropathie multiple motrice aiguë révélant une neurosyphilis chez une patiente VIH négative A propos d’un cas [] / A. J. Mohamedghadhi, Author ; M. Ndiaye, Author ; S. Mohamedlemine, Author ; M. Diagana, Author . - La Seyne sur mer (521, avenue de Rome, 83500, France) : APIDPM Santé Tropicale, 2016 . - p.603-606, tab. : Journal Article. - (Médecine d'Afrique Noire, ISSN 0465-4668; 63(12)) . ISSN : 0465-4668 Languages : French Keywords: Mononeuropathies  Neurosyphilis  Infections à VIH  Présentations de cas  Mauritanie Abstract: La mono-neuropathie multiple est une atteinte successive et simultanée de plusieurs troncs nerveux, et la syphilis est une Infection Sexuellement Transmissible (IST), qui a vu sa prévalence décroître significativement avec la penicillinothérapie intraveineuse. La neuro-syphilis est l’une des formes les plus sévères de cette pathologie, caractérisée par un polymorphisme clinique et par des troubles neurologiques chroniques non-spécifiques. Nous rapportons une manifestation rare à type mono-neuropathie multiplemotrice aiguë. Il s’agit d’une patiente de 19 ans hospitalisée dans le service de Neurologie du Centre Hospitalier Universitaire de Fann, pour paraplégie flasque d’installation rapidement progressive,sans antécédents particuliers dans le post-partum immédiat. La sérologie syphilitique notamment(TPHA, VDRL) était fortement positive dans le sang et le LCR. L’EMG avait mis en évidence une sévère neuropathie axonale motrice des membres inférieurs, asymétrique avec importante dénervation et des paramètres sensitifs normaux. L’évolution était favorable sous pénicilline G. La neurosyphilis reste une pathologie à laquelle il faut penser dans notre contexte, elle peut revêtir des aspects trompeur Contents note: Veuillez cliquer sur le lien ci-dessous et vous inscrire gratuitement pour accéder à cet article./ Please click on the link below and register for free access to this article Link for e-copy: http://www.santetropicale.com/manelec/fr/visio_oa.asp?id_article=2983&src=http:/ [...]

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General paralysis in a tropical country. Study of 43 observations / Cisse; AmaraMorel; YvesFode Cisse; Abass et al

Public ISBD Title : General paralysis in a tropical country. Study of 43 observations Authors: Cisse; AmaraMorel; YvesFode Cisse; Abass et al Publisher: Nairobi [Kenya] : Pan African Association of Neurological Sciences Publication Date: 2004 Series: African Journal of Neurological Sciences, ISSN 1992-2647 No. 23(2) Layout: Journal Article ISSN (or other code): 1015-8618 Languages : English Keywords: Neurosyphilis  Epilepsy  Paralysis General paralysis in a tropical country. Study of 43 observations [] / Cisse; AmaraMorel; YvesFode Cisse; Abass et al . - Nairobi (Kenya) : Pan African Association of Neurological Sciences, 2004 . -  : Journal Article. - (African Journal of Neurological Sciences, ISSN 1992-2647; 23(2)) . ISSN : 1015-8618 Languages : English Keywords: Neurosyphilis  Epilepsy  Paralysis