Fisher M, Poser C M
Arch Neurol. 1977 Dec;34(12):785. doi: 10.1001/archneur.1977.00500240073015.
A 58-year-old man was admitted with a progressive, subacute asymmetrical paraparesis. The patient denied a previous syphilitic infection, but spinal fluid examination disclosed a lymphocytic pleocytosis, hypoglycorrhachia, and a positive serologic test for syphills. Clinical improvement resulted from a 14-day course of penicillin. Syphilitic involvement of the nervous system appears to be increasing in the United States and should be included in the differential diagnosis of progressive paraparesis.
一名58岁男性因进行性、亚急性不对称性轻截瘫入院。患者否认既往有梅毒感染史，但脑脊液检查显示淋巴细胞增多、脑脊液糖含量降低，梅毒血清学检查呈阳性。青霉素治疗14天后临床症状改善。在美国，梅毒累及神经系统的情况似乎在增加，应将其纳入进行性轻截瘫的鉴别诊断中。
