AI Article Synopsis
- The text discusses cases of neurosyphilis presenting as basal meningitis that led to transient cranial nerve palsies, a phenomenon known before antibiotics were used.* -
- The objective was to highlight two patients who experienced acute unilateral peripheral vestibulopathy due to syphilitic basal meningitis, one during the secondary phase of infection and the other during the late latent phase.* -
- Both cases were initially misdiagnosed; facial palsy and hearing loss were noted in one, while the second case was investigated for lymphoma before identifying the syphilitic infection, indicating that timely diagnosis can be challenging.*
Article Abstract
Introduction: Neurosyphilis producing basal meningitis presenting as sequential transient cranial nerve palsies was well recognized before the antibiotic era.
Objective: To report two patients presenting with acute unilateral peripheral vestibulopathy due to syphilitic basal meningitis.
Results: In Case 1 basal meningitis occurred early in the secondary phase of the infection, in Case 2 in the late latent phase. The diagnosis was not made immediately in either case; in Case 1 after previous presentation with increasing hearing loss and then with facial palsy and then a subsequent presentation with optic neuritis; in Case 2 after investigation for possible lymphoma.
Conclusion: Syphilitic basal meningitis in either the secondary or in the latent phase can present as acute unilateral peripheral vestibulopathy with transient involvement of the facial or auditory nerve.
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| http://dx.doi.org/10.1016/j.jns.2017.04.038 | DOI Listing |
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