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

There are no CT scan findings associated with [disease name].

OR

[Location] CT scan may be helpful in the diagnosis of [disease name]. Findings on CT scan suggestive of/diagnostic of [disease name] include [finding 1], [finding 2], and [finding 3].

OR

There are no CT scan findings associated with [disease name]. However, a CT scan may be helpful in the diagnosis of complications of [disease name], which include [complication 1], [complication 2], and [complication 3].

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

  1. 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.
  2. 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.
  3. 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.

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