Neurosyphilis Manifesting as a Longitudinally Extensive Transverse Myelitis: A Case Report.

Autor:	Bou GA; Neurology Residency Program, Department of Neurology, Emory University School of Medicine, Atlanta, GA, USA., AlShaer QN; Neurology Residency Program, Department of Neurology, Emory University School of Medicine, Atlanta, GA, USA., Harrison TB; Division of Neuromuscular Medicine, Department of Neurology, Emory University School of Medicine, Atlanta, GA, USA., Hutto SK; Division of Hospital Neurology, Department of Neurology, Emory University School of Medicine, Atlanta, GA, USA.
Jazyk:	angličtina
Zdroj:	The Neurohospitalist [Neurohospitalist] 2024 Oct; Vol. 14 (4), pp. 437-440. Date of Electronic Publication: 2024 May 30.
DOI:	10.1177/19418744241258694
Abstrakt:	Background : Evaluating patients with ascending sensorimotor deficits has a broad differential diagnosis at initial presentation which can be further narrowed upon neurologic examination but may represent a diagnostic and therapeutic dilemma in light of findings raising suspicion for multiple possible etiologies. Data Collection : In this case, a 29-year-old patient presented with ascending bilateral lower extremity sensory loss, paresthesias, and weakness which progressed to the inability to ambulate. Conclusions : This case highlights the diagnostic approach to patients with bilateral lower extremity sensorimotor deficits, discusses the development of a comprehensive differential diagnosis, and further evaluates the most likely etiologies. Furthermore, this case reviews complexities related to clinical reasoning in the setting of diagnostic uncertainty, particularly when the neurologic structures affected portend high risk for severe disability and early treatment may improve outcome. Competing Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. (© The Author(s) 2024.)
Databáze:	MEDLINE
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