Bladder dysfunction and neurosyphilis.
Neurosyphilis today is a rare problem. We describe a man who presented with organic brain syndrome, psychosis and incontinence, and diagnosis was neurosyphilis with resultant bladder dysfunction. Urodynamic studies defined the voiding dysfunction as detrusor areflexia with a positive bethanechol test. This case reminds us of the necessity of obtaining a test for venereal disease to rule out neurosyphilis in patients with idiopathic voiding dysfunction.
D000328:Adult; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D009494:Neurosyphilis / Q000150:complications* / Q000503:physiopathology; D001743:Urinary Bladder / Q000503:physiopathology*; D001750:Urinary Bladder, Neurogenic / Q000209:etiology* / Q000503:physiopathology; D014549:Urinary Incontinence / Q000209:etiology*; D014563:Urodynamics