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Updated: Aug 9, 2026

Diffusion Tensor Magnetic Resonance Imaging in Chronic Spinal Cord Compression
Published on: May 7, 2019
Syphilitic myelitis with its magnetic resonance imaging (MRI) verification and successful treatment
K Tashiro1, F Moriwaka, K Sudo
1Department of Neurology, Hokkaido University School of Medicine, Sapporo, Japan.
Abstract:
A 31-year-old man with a 10-day duration of a progressive paraparesis and sensory disturbance was found to have a syphilitic infection which was confirmed by the blood and cerebrospinal fluid (CSF) syphilitic reaction. A discrete and wedge-shaped Gadolinium-DTPA-enhanced lesion on magnetic resonance imaging (MRI) was identified at the level of Th 3/4. The neurologic states and MRI findings improved noticeably after a 16-day course of penicillin with a high dose of prednisolone. Therefore, we want to emphasize the importance and usefulness of MRI in syphilitic myelitis.
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