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KMID : 1022820170080010014
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Journal of Multiple Sclerosis and Neuroimmunology
2017 Volume.8 No. 1 p.14 ~ p.17
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Neurosyphilis Manifesting as an Intramedullary Nodule with Rim Enhancement
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Kim Min-Kyeong
Jung Sun-Hye
Shin Jin-Hong
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Abstract
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Neurosyphilis in spinal cord presenting as isolated gumma is extremely rare, which poses a clinical challenge since it is often mistaken for central nervous system tumor or parasite infection. With several serologic tests, magnetic resonance image (MRI) provides a diagnostic clue. Here in, we report a case with rapidly progressive weakness, whose spine MRI manifested isolated intramedullary gumma and extensive cord edema. Venereal disease research laboratory of cerebrospinal fluid was strongly reactive. Intravenous penicillin-G with high-dose steroid resulted in an excellent clinical improvement.
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KEYWORD
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Neurosyphilis, Spine MRI, Penicillin
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