Casolla Barbara, Ristori Giovanni, Romano Andrea, Bozzao Alessandro, Orzi Francesco
NeSMOS Department (Neurosciences, Mental Health and Sensory Organs), School of Medicine and Psychology, University of Rome "La Sapienza", UOC Neurology, Sant'Andrea Hospital, Rome, Italy,
Neurol Sci. 2015 Jun;36(6):1033-4. doi: 10.1007/s10072-015-2125-1. Epub 2015 Mar 5.
We report a case of neurosyphilis presenting with meningitis and subacute multicranial neuropathy in a young immune-competent man. Signs of primary and secondary stages of syphilitic infection occurred almost contemporarily in our patient. MRI revealed the involvement of several cranial nerves. CSF examination proved to be diagnostic. Syphilitic meningitis should be considered among the differential diagnoses of subacute, multicranial neuropathy, or skull base meningitis. The clinical course of this patient shows that early diagnosis and treatment warrant a good neurological outcome.
