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Tabes dorsalis

 
 

Tabes dorsalis


OVERVIEW:

Parenchymatous neurosyphilis in which there is slowly progressive degeneration of the posterior columns and roots and ganglia of the spinal cord. Occurs 15 to 20 years after initial syphilitic infection. Characteristics - lancinating lightning pains, urinary incontinence, ataxia, impaired position and vibratory sense, optic atrophy, hypotonia, hyporeflexia and trophic joint degeneration (Charcot's joints).

CAUSES:

• treponema pallidum

TREATMENT


• penicillin, tetracycline, erythromycin
• anticonvulsants, carbamazepine, phenytoin
• surgery

MISCELLANEOUS

SYNONYMS:

• tabetic neurosyphilis
• locomotor ataxia
• Duchenne's disease
• spinal cord syphilis

ICD-9-CM:

094.0 tabes dorsalis
094.89 other specified neurosyphilis

(see images)




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