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Neurosyphilis Manifesting as a Longitudinally Extensive Transverse Myelitis: A Case Report
Gabriela A Bou1, Qasem N AlShaer1, Taylor B Harrison2
1Neurology Residency Program, Department of Neurology, Emory University School of Medicine, Atlanta, GA, USA.
The Neurohospitalist
|September 23, 2024
Summary
A 29-year-old patient presented with ascending sensorimotor deficits. This case highlights diagnostic approaches for bilateral lower extremity sensorimotor deficits, emphasizing clinical reasoning amid diagnostic uncertainty.
Area of Science:
- Neurology
- Clinical Medicine
Background:
- Ascending sensorimotor deficits present a broad differential diagnosis.
- Neurologic examination is crucial for narrowing potential etiologies.
- Diagnostic and therapeutic dilemmas arise with suspected multiple underlying causes.
Observation:
- A 29-year-old patient experienced progressive bilateral lower extremity sensory loss and weakness.
- The patient's condition advanced to the point of being unable to ambulate.
- Symptoms included sensory loss and paresthesias ascending from the lower extremities.
Findings:
- The case underscores the importance of a systematic diagnostic approach.
- Developing a comprehensive differential diagnosis is essential for these complex cases.
- Evaluation of the most likely etiologies guides treatment strategies.
Implications:
- This case reviews the complexities of clinical reasoning with diagnostic uncertainty.
- Early treatment is critical when neurologic structures at high risk for severe disability are affected.
- Understanding diagnostic challenges aids in managing patients with sensorimotor deficits.
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