Subacute multicranial neuropathy revealing an early case of meningeal syphilis.
We report a case of neurosyphilis presenting with meningitis and subacute multicranial neuropathy in a young immune-competent man. Signs of primary and secondary stages of syphilitic infection occurred almost contemporarily in our patient. MRI revealed the involvement of several cranial nerves. CSF examination proved to be diagnostic. Syphilitic meningitis should be considered among the differential diagnoses of subacute, multicranial neuropathy, or skull base meningitis. The clinical course of this patient shows that early diagnosis and treatment warrant a good neurological outcome.
NeSMOS Department (Neurosciences, Mental Health and Sensory Organs), School of Medicine and Psychology, University of Rome "La Sapienza", UOC Neurology, Sant'Andrea Hospital, Rome, Italy, barbara.casolla@gmail.com.
Barbara
B
Casolla
Giovanni
G
Ristori
Andrea
A
Romano
Alessandro
A
Bozzao
Francesco
F
Orzi
D000328:Adult; D003391:Cranial Nerves / Q000473:pathology*; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D009494:Neurosyphilis / Q000134:cerebrospinal fluid / Q000175:diagnosis*; D011115:Polyneuropathies / Q000175:diagnosis*