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December 2014; 4 (6) Cases

Posterior spinal cord infarctions due to neurosyphilis

Olivier Bill, Renaud A. Du Pasquier, Patrik Michel
First published August 20, 2014, DOI: https://doi.org/10.1212/CPJ.0000000000000053
Olivier Bill
Neurology Unit, Department of Clinical Neurosciences, CHUV, Lausanne, Switzerland.
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Renaud A. Du Pasquier
Neurology Unit, Department of Clinical Neurosciences, CHUV, Lausanne, Switzerland.
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Patrik Michel
Neurology Unit, Department of Clinical Neurosciences, CHUV, Lausanne, Switzerland.
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Posterior spinal cord infarctions due to neurosyphilis
Olivier Bill, Renaud A. Du Pasquier, Patrik Michel
Neurol Clin Pract Dec 2014, 4 (6) 538-540; DOI: 10.1212/CPJ.0000000000000053

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An 86-year-old patient with multiple vascular risk factors including 3 previous strokes woke up with a sensation of wet lower limbs, with bilateral loss of proprioception in legs on examination. Cervical MRI showed 2 acute medullary ischemic lesions in the posterior columns at level C3 and C4 (figure 1, A–D). Biological screening including HIV serology, Treponema pallidum hemagglutination assay (TPHA), Venereal Disease Research Laboratory test (VDRL), and Lyme disease serology showed an increased TPHA titer of 1:320, with a negative VDRL.

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  • © 2014 American Academy of Neurology
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Topics Discussed

  • All Cerebrovascular disease/Stroke
  • CT
  • Clinical neurology examination
  • Spinal cord infarction
  • Parasitic infections

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