Neurosyphilis Presenting with Ptosis and Diplopia as the First Complaints: Case Report

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dc.contributor.authorEren, Fettah
dc.contributor.authorAygul, Recep
dc.contributor.authorEkmekci, Ahmet Hakan
dc.contributor.authorOzturk, Serefnur
dc.date.accessioned2020-03-26T19:54:47Z
dc.date.available2020-03-26T19:54:47Z
dc.date.issued2018
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractSyphilis is a spirochete disease that occurs due to Treponema pallidum infection. It can be sexually transmitted and can be transmitted from mother to baby vertically. Neurological involvement is more common in the late period. The use of common antibiotics may alter the natural course of the disease. Because of this, syphilis may present with different neurological findings. A 49-year-old male patient was admitted to our clinic with complaints of fluctuating double vision and droopy left eyelid for two months. In the neurological examination, pupils were mid-dilated, direct and indirect pupillary light reflexes were bilaterally absent, movements of the left eye in all directions and rightward movement of the right eye were restricted. Also, bilateral ptosis was detected. Brain magnetic resonance imaging and electrophysiological studies including repetitive stimulation were normal. Syphilis was diagnosed with blood and cerebrospinal fluid (CSF) tests. He was treated with long-term high-dose intravenous penicillin. Ocular findings are an important indicator of neurosyphilis. Ocular involvement due to primary disease process is rare. If meningitis-related CSF absorption defect develops, eye movement disorders and pupil abnormalities may occur. The diagnosis of neurosyphilis may be delayed due to different clinical manifestations. Neurosyphilis should be considered in case of ocular findings.en_US
dc.identifier.doi10.4274/tnd.38981en_US
dc.identifier.endpage333en_US
dc.identifier.issn1301-062Xen_US
dc.identifier.issn1309-2545en_US
dc.identifier.issue4en_US
dc.identifier.pmid#YOKen_US
dc.identifier.startpage330en_US
dc.identifier.urihttps://dx.doi.org/10.4274/tnd.38981
dc.identifier.urihttps://hdl.handle.net/20.500.12395/36796
dc.identifier.volume24en_US
dc.identifier.wosWOS:000452643700006en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.language.isoenen_US
dc.publisherTURKISH NEUROLOGICAL SOCen_US
dc.relation.ispartofTURKISH JOURNAL OF NEUROLOGYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectSyphilisen_US
dc.subjectneurosyphilisen_US
dc.subjectophthalmoparesisen_US
dc.subjectdiplopiaen_US
dc.subjectptosisen_US
dc.titleNeurosyphilis Presenting with Ptosis and Diplopia as the First Complaints: Case Reporten_US
dc.typeArticleen_US

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