Lanoë Y, Amarenco G, Deleau B, Aymard A, Goudal H
Service de Neurologie, Centre Hospitalier Robert Ballanger, Aulnay-sous-Bois.
Rev Neurol (Paris). 1991;147(2):167-70.
We report a case of neurosyphilis of the spinal cord in a 38-year-old-man presenting with urinary incontinence and Argyll-Robertson sign. Anamnesis revealed the congenital origin of the disease. Urodynamics findings were consistent with a conus medullaris involvement and CSF study revealed a specific lymphocytic meningitis. A specific spinal arteritis was found by angiography. A quarterly 15 to 20 days course of intravenous penicillin was then instituted during 2 years. A specific treatment of urinary symptoms resulted in complete disappearance of sphincter dyssynergia. Antibiotic therapy was followed by clinical improvement and regression of most of the CSF abnormalities.
我们报告了一例38岁男性脊髓型神经梅毒病例，该患者表现为尿失禁和阿-罗瞳孔。既往史显示该病为先天性起源。尿动力学检查结果与圆锥受累相符，脑脊液检查显示为特异性淋巴细胞性脑膜炎。血管造影发现特异性脊髓动脉炎。随后在2年期间每季度进行15至20天的静脉青霉素治疗。针对尿路症状的特异性治疗使括约肌协同失调完全消失。抗生素治疗后临床症状改善，大多数脑脊液异常情况消退。
