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CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2025; 35(01): 196-198
DOI: 10.1055/s-0044-1788689
Case Report

Uncommon Neurosyphilis: Subacute Meningomyelitis with Distinctive “Candle Guttering Appearance”

Liwen Wang   *
1   Graduate School, Bengbu Medical College, Bengbu, China
,
Jing Fang   *
1   Graduate School, Bengbu Medical College, Bengbu, China
,
Juan Wang
2   Division of Life Science and Medicine, Department of Dermatology, The First Affiliated Hospital of USTC, University of Science and Technology of China, Hefei, Anhui, China
› Author Affiliations Funding None.
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Abstract

In this article, we presented an exceedingly rare clinical case of neurosyphilis, radiological revealed a distinctive “candle guttering appearance.” Posttreatment for syphilis, both clinical symptoms and radiological markers showed complete resolution.

Keywords

syphilis - neurosyphilis - meningomyelitis

Patient Consent

Informed consent was obtained from the patient for his anonymized information and images to be published in this case report.


* Liwen Wang and Jing Fang contributed equally to this work.




Publication History

Article published online:
24 October 2024

© 2024. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Adams RD, Merritt HH. Meningeal and vascular syphilis of the spinal cord. Medicine (Baltimore) 1944; 2: 181-214
    CrossrefSearch in Google Scholar
  • 2 Berger JR, Dean D. Neurosyphilis. Handb Clin Neurol 2014; 121: 1461-1472
    CrossrefPubMedSearch in Google Scholar
  • 3 Koh PX, Neo SX, Chiew HJ, Singh DR, Saini M, Chen Z. Syphilitic spinal disease: an old nemesis revisited. a case series and review of literature. Sex Transm Dis 2021; 48 (09) e126-e131
    CrossrefPubMedSearch in Google Scholar
  • 4 Jiang MJ, Zhang HJ, Li WR. et al. Analysis of EEG Lemple-Ziv complexity and correlative aspects before and after treatment of anti-syphilis therapy for neurosyphilis. Neurol Res 2019; 41 (03) 199-203
    CrossrefPubMedSearch in Google Scholar
  • 5 Tashiro K, Moriwaka F, Sudo K, Akino M, Abe H. Syphilitic myelitis with its magnetic resonance imaging (MRI) verification and successful treatment. Jpn J Psychiatry Neurol 1987; 41 (02) 269-271
    PubMedSearch in Google Scholar
  • 6 Wu S, Ye F, Wang Y, Li D. Neurosyphilis: insights into its pathogenesis, susceptibility, diagnosis, treatment, and prevention. Front Neurol 2024; 14: 1340321
    CrossrefPubMedSearch in Google Scholar
  • 7 Dong H, Liu Z, Duan Y. et al. Syphilitic meningomyelitis misdiagnosed as spinal cord tumor: case and review. J Spinal Cord Med 2021; 44 (05) 789-793
    CrossrefPubMedSearch in Google Scholar