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Revista chilena de neuro-psiquiatría

versión On-line ISSN 0717-9227

Resumen

NUNEZ D, Carolina; VERDUGO L, Renato  y  CARTIER R, Luis. Luetic meningovasculitis of spinal cord: "Spinal vascular syphilis of Singer". Rev. chil. neuro-psiquiatr. [online]. 2009, vol.47, n.2, pp.138-143. ISSN 0717-9227.  http://dx.doi.org/10.4067/S0717-92272009000200006.

Meningovascular syphilis is the most prevalent form of neurosyphilis. The meningeal compromise begins during the secondary period of the disease and the CSF usually shows inflammatory signs with presence of lymphocytes and increase of gammaglobulins. The VDRL in CSF is highly specific. The inflammatory phenomenon compromises the cerebral and spinal arteries. We analyzed a very singular case of meningovascular syphilis of the spinal cord in 63 year-old men that expressed a left crural monoplegia associated to urinary retention and contralateral sensitive level, preceded of left flank pain (spinal cord angina) that fulfilled the diagnosis criteria of meningovascular syphilis. The MRI of the spinal cord showed enhanced antero-lateral segmental lesion at D7-D8 and cerebral MRI corroborated the presence of asymptomatic syphilitic arteritis with injuries of both thalamus. The patient was treated with endovenous penicillin G and metilprednisolona that showed significant improvement. We conclude that these manifestations of the neurosyphilis, although rare, are still a reality especially in non treated patients.

Palabras clave : Neurosyphilis; Meningovascular syphilis; spinal cord infarction.

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