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February 3, 1940


JAMA. 1940;114(5):408-409. doi:10.1001/jama.1940.62810050001008

Though it has been recognized for some time that syphilis of the central nervous system may produce a lesion of the syringomyelic cord secondary to pachymeningitis with inflammation of the cord and cavity formation,1 it is exceedingly rare to find this clinical picture in congenital syphilis. We are therefore reporting a proved case which in addition presented classic syringomyelic arthropathy of the right elbow joint, a combination of conditions we have been unable to find recorded hitherto in the literature.

REPORT OF CASE  J. S., a Negro boy aged 12, admitted to the Bellevue Hospital neurologic wards Nov. 4, 1936, complained of weakness and numbness of the right leg. He had been in good health until August 1936, when, while walking in the street, he suddenly felt his right leg get numb and weak and crumple under him. He was unable to walk without support, and a cast was

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