Chiari Type 1 Malformation Presenting as Red Herring in Neurosyphilis
Received Date: Jul 09, 2020 / Accepted Date: Jul 23, 2020 / Published Date: Jul 30, 2020
Abstract
30-year-old male who presented with urinary retention and gradually worsening bilateral lower limb weakness, but this was missed. Initially treated as urinary infection, subsequent visits earned him a Magnetic resonance Imaging (MRI) that revealed T2 hyper intensity and low-lying cerebellar tonsils. Further evaluation by consultant revealed discordant findings to Chiari malformation. Subsequent investigation led to the diagnosis of Neurosyphilis. Importance of senior input, understanding of disease complex, lateral thinking, multidisciplinary involvement and prompt intervention prove central to the management of this patient whom otherwise may have been treated dangerously and inappropriately as symptomatic Chiari malformation.
Keywords: Red Herring; Chiari Type 1 Malformation; Neurosyphilis
Citation: Ansari DM, Aizad KA, Chung W, Vashu R (2020) Chiari Type 1 Malformation Presenting as Red Herring in Neurosyphilis. J Neuroinfect Dis 11:293.
Copyright: © 2020 Ansari DM, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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