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December 1977

Syphilitic Meningomyelitis: A Case Report

Author Affiliations

From the Department of Neurology, College of Medicine, University of Vermont, Burlington, VT.

Arch Neurol. 1977;34(12):785. doi:10.1001/archneur.1977.00500240073015

• A 58-year-old man was admitted with a progressive, subacute asymmetrical paraparesis. The patient denied a previous syphilitic infection, but spinal fluid examination disclosed a lymphocytic pleocytosis, hypoglycorrhachia, and a positive serologic test for syphilis. Clinical improvement resulted from a 14-day course of penicillin. Syphilitic involvement of the nervous system appears to be increasing in the United States and should be included in the differential diagnosis of progressive paraparesis.

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