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http://dx.doi.org/10.13104/imri.2019.23.3.279

A Rare Case of Syphilitic Myelitis of the Spinal Cord  

Kim, Jin Hyeok (Department of Radiology, Pusan National University, Yangsan Hospital)
Jeong, Hee Seok (Department of Radiology, Pusan National University, Yangsan Hospital)
Park, Chankue (Department of Radiology, Pusan National University, Yangsan Hospital)
Ryu, Hwaseong (Department of Radiology, Pusan National University, Yangsan Hospital)
Roh, Ji Eun (Department of Radiology, Pusan National University, Yangsan Hospital)
Yeom, Jeong A (Department of Radiology, Pusan National University, Yangsan Hospital)
Kim, Tae un (Department of Radiology, Pusan National University, Yangsan Hospital)
Publication Information
Investigative Magnetic Resonance Imaging / v.23, no.3, 2019 , pp. 279-282 More about this Journal
Abstract
Neurosyphilis is an infection of the brain or spinal cord that is caused by the bacterium Treponema pallidum. Syphilitic myelitis, which involves the spinal cord, is a very rare form of neurosyphilis seen in patients with syphilis. It requires differentiation from other diseases of the spinal cord, including idiopathic transverse myelitis and spinal cord infarction. Herein, we describe the presentation and diagnosis of syphilitic myelitis in a 43-year-old woman, based on a flip-flop sign and candle guttering appearance depicted in magnetic resonance imaging and laboratory tests.
Keywords
Magnetic resonance imaging (MRI); Neurosyphilis; Syphilitic myelitis;
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1 Pandey S. Magnetic resonance imaging of the spinal cord in a man with tabes dorsalis. J Spinal Cord Med 2011;34:609-611   DOI
2 Dattner B, Thomas EW, De Mello L. Criteria for the management of neurosyphilis. Am J Med 1951;10:463-467   DOI
3 Harris DE, Enterline DS, Tien RD. Neurosyphilis in patients with AIDS. Neuroimaging Clin N Am 1997;7:215-221
4 Tsui EY, Ng SH, Chow L, Lai KF, Fong D, Chan JH. Syphilitic myelitis with diffuse spinal cord abnormality on MR imaging. Eur Radiol 2002;12:2973-2976   DOI
5 Tien RD, Gean-Marton AD, Mark AS. Neurosyphilis in HIV carriers: MR findings in six patients. AJR Am J Roentgenol 1992;158:1325-1328   DOI
6 MacLean S, Luger A. Finding neurosyphilis without the venereal disease research laboratory test. Sex Transm Dis 1996;23:392-394   DOI
7 Tashiro K, Moriwaka F, Sudo K, Akino M, Abe H. Syphilitic myelitis with its magnetic resonance imaging (MRI) verification and successful treatment. Jpn J Psychiatry Neurol 1987;41:269-271
8 Kikuchi S, Shinpo K, Niino M, Tashiro K. Subacute syphilitic meningomyelitis with characteristic spinal MRI findings. J Neurol 2003;250:106-107   DOI
9 Yuan JL, Wang WX, Hu WL. Clinical features of syphilitic myelitis with longitudinally extensive myelopathy on spinal magnetic resonance imaging. World J Clin Cases 2019;7:1282-1290   DOI
10 Jacob A, Weinshenker BG. An approach to the diagnosis of acute transverse myelitis. Semin Neurol 2008;28:105-120   DOI
11 Nabatame H, Nakamura K, Matuda M, Fujimoto N, Dodo Y, Imura T. MRI of syphilitic myelitis. Neuroradiology 1992;34:105-106   DOI