The Calcium Content of Cerebrospinal Fluid, Particularly in Tabes Dorsalis
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Tabes Dorsalis and Argyll Robertson Pupils.
A 47-year-old man with a history of human immunodeficiency virus (HIV) infection presented with an 8-month history of severe paroxysmal shooting pains in his legs, progressive difficulty in walking, tinnitus, and urinary incontinence. He had a fully suppressed HIV viral load and a CD4+ count of 400 cells per cubic millimeter while receiving antiretroviral therapy. The physical examination showe...
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History.-In 1949 he had had similar symptoms which were investigated at The London Hospital and diagnosed as due to a gastric crisis. At that time examination showed signs of tabes dorsalis and tests gave the following results: Blood Wassermann reaction (W.R.) positive; Price's precipitation reaction (P.P.R.) positive (1: 64). Cerebrospinal fluid (C.S.F.): W.R. positive (1:32); P.P.R. positive ...
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Neurosyphilis refers to infection of the central nervous system by Treponema pallidum, which may occur at any stage. Neurosyphilis has been categorized in many ways including early and late, asymptomatic versus symptomatic and infectious versus non-infectious. Late neurosyphilis primarily affects the central nervous system parenchyma, and occurs beyond early latent syphilis, years to decades af...
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An obese male aged 68 years attended the surgical out-patients' department in April, 1951, with leukoplakia of the left cheek. His blood Wassermann reaction was positive 1: 80, and the Kahn reaction strongly positive. He had been treated for hypertensive heart failure in 1948, osteo-arthritis of the spine in 1950, and cholecystitis in March, 1951. X ray of the gall-bladder in March, 1951, was n...
متن کاملNeurosyphilis in the modern era.
OBJECTIVE To review the nature of the presentation of neurosyphilis, the value of diagnostic tests, and the classification of the disease. METHODS A retrospective review was carried out of the records of patients who had been identified as possible cases of neurosyphilis by a positive FTA-abs test in the CSF. The review extended over 10 years at a single hospital which served a population of ...
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