Tabes Dorsalis CT
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: ;Mohamadmostafa Jahansouz M.D.[2]Aysha Anwar, M.B.B.S[3]; Vishal Devarkonda, M.B.B.S[4]
Overview
Spinal 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.
CT scan
Spinal CT scan may be helpful in the diagnosis of tabes dorsalis. Findings on CT scan suggestive of of neurosyphilis include:[1][2][3]
- Calcification in the soft tissues posterior to the cord in cervical spine CT scan
- Ankylosis across the C4–5 disc and facet joints bilaterally
- Areas of decreased density suggesting cerebral infarction
- Syphilitic gumma appear hypodense with precontrast
- Focal or diffuse extra-axial enhancement
- Non-specific white matter lesions
References
- ↑ Salem, K. M. I.; Majeed, H.; Bommireddy, R.; Klezl, Z. (2012). "Tertiary Syphilis in the Cervical Spine: A Case Report and Review of the Literature". Global Spine Journal. 3 (1): 041–046. doi:10.1055/s-0032-1329887. ISSN 2192-5682.
- ↑ Brightbill TC, Ihmeidan IH, Post MJ, Berger JR, Katz DA (1995). "Neurosyphilis in HIV-positive and HIV-negative patients: neuroimaging findings". AJNR Am J Neuroradiol. 16 (4): 703–11. PMID 7611026.
- ↑ Peng F, Hu X, Zhong X, Wei Q, Jiang Y, Bao J; et al. (2008). "CT and MR findings in HIV-negative neurosyphilis". Eur J Radiol. 66 (1): 1–6. doi:10.1016/j.ejrad.2007.05.018. PMID 17628376.