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Syphilitic Myelitis with Its Magnetic Resonance Imaging (MRI) Verification and Successful Treatment
Author(s) -
Tashiro Kunio,
Moriwaka Fumio,
Sudo Kazumasa,
Akino Minoru,
Abe Hiroshi
Publication year - 1987
Publication title -
psychiatry and clinical neurosciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.609
H-Index - 74
eISSN - 1440-1819
pISSN - 1323-1316
DOI - 10.1111/j.1440-1819.1987.tb00411.x
Subject(s) - magnetic resonance imaging , myelitis , medicine , nuclear magnetic resonance , radiology , pathology , spinal cord , physics , psychiatry
A 31‐year‐old man with a 10‐day duration of a progressive paraparesis and sensory disturbance was found to have a syphilitic infection which was confirmed by the blood and cerebrospinal fluid (CSF) syphilitic reaction. A discrete and wedge‐shaped Gadolinium‐DTPA‐enhanced lesion on magnetic resonance imaging (MRI) was identified at the level of Th 3/4. The neurologic states and MRI findings improved noticeably after a 16‐day course of penicillin with a high dose of prednisolone. Therefore, we want to emphasize the importance and usefulness of MRI in syphilitic myelitis.