[Congenital syphilitic meningomyelitis manifested in the adult].
We report a case of neurosyphilis of the spinal cord in a 38-year-old-man presenting with urinary incontinence and Argyll-Robertson sign. Anamnesis revealed the congenital origin of the disease. Urodynamics findings were consistent with a conus medullaris involvement and CSF study revealed a specific lymphocytic meningitis. A specific spinal arteritis was found by angiography. A quarterly 15 to 20 days course of intravenous penicillin was then instituted during 2 years. A specific treatment of urinary symptoms resulted in complete disappearance of sphincter dyssynergia. Antibiotic therapy was followed by clinical improvement and regression of most of the CSF abnormalities.
Lanoë
Y
Y
Service de Neurologie, Centre Hospitalier Robert Ballanger, Aulnay-sous-Bois.
Amarenco
G
G
Deleau
B
B
Aymard
A
A
Goudal
H
H
D000328:Adult; D006801:Humans; D008297:Male; D008581:Meningitis / Q000151:congenital* / Q000175:diagnosis; D009187:Myelitis / Q000151:congenital* / Q000175:diagnosis; D009494:Neurosyphilis / Q000151:congenital* / Q000175:diagnosis; D014549:Urinary Incontinence / Q000209:etiology