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| {{Tabes dorsalis}} | | {{Tabes dorsalis}} |
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| {{CMG}}; {{AE}};{{MMJ}}{{AA}}; {{VD}} | | {{CMG}};{{AE}};{{MMJ}} |
| | ==Overview== |
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| | ==Historical Perspective== |
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| | ==Classification== |
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| | ==Pathophysiology== |
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| | ==Causes== |
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| | ==Differentiating Hereditary pancreatitis from Other Diseases== |
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| | ==Epidemiology and Demographics== |
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| | ==Risk Factors== |
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| | ==Screening== |
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| | ==Natural History, Complications, and Prognosis== |
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| | ==Diagnosis== |
| | ===Diagnostic Study of Choice=== |
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| | ===History and Symptoms=== |
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| | ===Physical Examination=== |
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| | ===Laboratory Findings=== |
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| | ===Electrocardiogram=== |
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| | ===X-ray=== |
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| | ===Echocardiography and Ultrasound=== |
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| | ===CT scan=== |
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| | ===MRI=== |
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| | ===Other Imaging Findings=== |
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| | ===Other Diagnostic Studies=== |
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| ==Overview== | | ==Treatment== |
| | ===Medical Therapy=== |
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| | ===Surgery=== |
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| Spinal [[Computed tomography|CT scan]] may be helpful in the diagnosis of tabes dorsalis. Findings on [[CT scan]] suggestive of of [[neurosyphilis]] include [[calcification]] in the soft tissues(posterior to the cord in [[cervical spine]] [[CT scan]]), [[ankylosis]] across the C4–5 disc and facet joints bilateral, areas of decreased density suggesting cerebral infarction, syphilitic [[gumma]] appear hypodense with precontrast, focal or diffuse extra-axial enhancement and non-specific white matter lesions.
| | ===Primary Prevention=== |
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| ==CT scan== | | ===Secondary Prevention=== |
| Spinal [[Computed tomography|CT scan]] may be helpful in the diagnosis of tabes dorsalis. Findings on [[CT scan]] suggestive of of [[neurosyphilis]] include:<ref name="SalemMajeed2012">{{cite journal|last1=Salem|first1=K. M. I.|last2=Majeed|first2=H.|last3=Bommireddy|first3=R.|last4=Klezl|first4=Z.|title=Tertiary Syphilis in the Cervical Spine: A Case Report and Review of the Literature|journal=Global Spine Journal|volume=3|issue=1|year=2012|pages=041–046|issn=2192-5682|doi=10.1055/s-0032-1329887}}</ref><ref name="pmid7611026">{{cite journal| author=Brightbill TC, Ihmeidan IH, Post MJ, Berger JR, Katz DA| title=Neurosyphilis in HIV-positive and HIV-negative patients: neuroimaging findings. | journal=AJNR Am J Neuroradiol | year= 1995 | volume= 16 | issue= 4 | pages= 703-11 | pmid=7611026 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=7611026 }} </ref><ref name="pmid17628376">{{cite journal| author=Peng F, Hu X, Zhong X, Wei Q, Jiang Y, Bao J et al.| title=CT and MR findings in HIV-negative neurosyphilis. | journal=Eur J Radiol | year= 2008 | volume= 66 | issue= 1 | pages= 1-6 | pmid=17628376 | doi=10.1016/j.ejrad.2007.05.018 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17628376 }} </ref>
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| * [[Calcification]] in the soft tissues posterior to the cord in [[cervical spine]] [[CT scan]]
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| *[[Ankylosis]] across the C4–5 disc and facet joints bilaterally
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| *Areas of decreased density suggesting cerebral infarction
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| *Syphilitic [[gumma]] appear hypodense with precontrast
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| *Focal or diffuse extra-axial enhancement
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| *Non-specific white matter lesions
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| ==References== | | ==References== |
| {{Reflist|2}} | | {{reflist|2}} |
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| {{WH}} | | {{WikiDoc Help Menu}} |
| {{WS}} | | {{WikiDoc Sources}} |
| [[Category: (name of the system)]] | | [[Category: (name of the system)]] |