21. Member Sign In neurosyphilis from Southern Medical Journal Posted 01/08/2003 An extensive laboratoryand radiologic evaluation confirmed the diagnosis of neurosyphilis. http://www.medscape.com/viewarticle/442908

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22. Member Sign In Should this patient be treated for neurosyphilis? Focus On Neurologic Complicationsin HIV Disease Ask The Expert When to Treat for neurosyphilis? http://www.medscape.com/viewarticle/412439

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23. Neurosyphilis only. neurosyphilis,, Print this article, After tests. Without therapy,5–10% of patients develop clinical evidence of neurosyphilis. The http://www.amershamhealth.com/medcyclopaedia/Volume VI 1/NEUROSYPHILIS.asp

Medcyclopaedia About Medcyclopaedia Amersham Health Search for: Type a word or a phrase. All forms of the word are searchable. Advanced search Browse entry words starting with: A B C D ... Other characters Try our Medcyclopaedia Premium Edition with added tools and functionality tailored to make your working day easier. The following tools are presently available: Expanded search *For Medical Professionals only, registration required Neurosyphilis, After a dramatic decrease following the introduction of antibiotic therapy, the spirochaete Treponema pallidum disease, syphilis, and its CNS manifestations have recently undergone an increase in incidence mostly as a consequence of AIDS. In the AIDS population up to 1–3% of patients are positive to cerebrospinal fluid (CSF) Veneral Disease Research Laboratory (VDRL) tests. Without therapy, 5–10% of patients develop clinical evidence of neurosyphilis. The CNS manifestations of syphilis can be broadly classified into meningeal and parenchymal. Meningeal manifestations range from the acute and more subtle and chronic forms of meningitis and meningoencephalitis up to the formation of circumscribed masses. These gummas are composed, similarly to those in all other sites in the body, of granulation tissue surrounded by mononuclear epithelial and fibroblastic cells and, intracranially, usually located over the cerebral convexities, adherent to both dura and brain parenchyma. Parenchymal manifestations include two types of vasculitis, respectively Heubner's and Nissl's endarteritis, the former affecting large and medium-sized arteries with resultant irregular luminal narrowing and ectasia, the latter primarily involving small vessels in which a luminal narrowing occurs as a consequence of intense proliferation of endothelial and adventitial cells. Vascular neurosyphilis may present with focal neurological deficits as a consequence of arterial occlusion. For so-called meningovascular syphilis the usual interval of infection to symptom onset in the general population is 5 to 10 years.

24. Meningeal Neurosyphilis only. Meningeal neurosyphilis,, Print this article, see neurosyphilisFS The Encyclopaedia of Medical Imaging Volume VI1, Disclaimer http://www.amershamhealth.com/medcyclopaedia/Volume VI 1/MENINGEAL NEUROSYPHILIS

Medcyclopaedia About Medcyclopaedia Amersham Health Search for: Type a word or a phrase. All forms of the word are searchable. Advanced search Browse entry words starting with: A B C D ... Other characters Try our Medcyclopaedia Premium Edition with added tools and functionality tailored to make your working day easier. The following tools are presently available: Expanded search *For Medical Professionals only, registration required Meningeal neurosyphilis, see neurosyphilis FS The Encyclopaedia of Medical Imaging Volume VI:1 Welcome to Medcyclopaedia. This site is open to a public audience, still we want to know a little more about our visitors. Please tick off the boxes that match your profile. Do you live in Europe? Yes No Are you a medical professional? Yes No This frame will disappear when submitted Legal Contact us Making Waves

25. Jama Women's Health STD Information Center - Neurosyphilis Table of Contents. neurosyphilis. The durations of these regimens are shorter thanthat of the regimen used for late syphilis in the absence of neurosyphilis. http://www.ama-assn.org/special/std/treatmnt/guide/stdg3437.htm

26. Jama Women's Health STD Information Center - General Principles No single test can be used to diagnose neurosyphilis among all patients.The diagnosis of neurosyphilis can be made based on various http://www.ama-assn.org/special/std/treatmnt/guide/stdg3429.htm

27. Neurosyphilis-Diagnostik Bei Neugeborenen Translate this page neurosyphilis-Diagnostik bei Neugeborenen Nachweis von Treponema pallidum im Liquormit Antikörper-Test und PCR-Test. Medknowledge. Suchkatalog für Medizin. http://www.medknowledge.de/abstract/med/med2002/05-2002-19-neurosyphilis-da.htm

Medkn o wledge Suchkatalog für Medizin English Home Suche Datenbanken ... Kontakt Ärzte Forum für Fachkreise Fachgebiete Online-Fortbildung Arztpraxis ... Buchangebote Recherche Evidenzbas. Medizin Medizindatenbanken Medizinsuchmaschinen de ... Forschung Weiteres Telemedizin Pharmaseiten Pharmaunternehmen Medizinstudium ... Medical Tools Neurosyphilis-Diagnostik bei Neugeborenen: Nachweis von Treponema pallidum im Liquor mit Antikörper-Test und PCR-Test Schlüsselwörter : Neurosyphilis, Diagnostik, Neugeborenen, Nachweis, Treponema pallidum, Liquor, Antikörper-Test, PCR-Test und Syphilis. Sichere Neurosyphilis-Diagnostik bei Neugeborenen: Ein Antikörper-Test und ein PCR-Test ermöglichen bereits am ersten Tag nach der Geburt den zuverlässigen Nachweis von Treponema pallidum im Liquor. Die Studie im New England Journal of Medicine (2002; 346: 1792-8) könnte zu einer gezielteren Antibiotikatherapie der Kinder führen. Die kongenitale (angeboren) Neurosyphilis ist zwar selten, aber bedrohlich, weil einige Kinder zunächst klinisch unauffällig sind. Betroffen sind die Kinder von an Syphilis erkrankten Müttern.

28. Neurosyphilis - Overview neurosyphilis is a slowly progressive and destructive infection of the brain orspinal cord that occurs in untreated syphilis many years after the primary http://www.mercydesmoines.org/ADAM/Encyclopedia/ency/article/000703.asp

document.frmSearch.txtDoctorSearch.onkeydown = CheckKeyDoctor; document.frmSearch.txtHealthNewsSearch.onkeydown = CheckKeySite; Disease Injury Nutrition Poison ... Prevention Neurosyphilis Definition: textLink Neurosyphilis is a slowly progressive and destructive infection of the brain or spinal cord that occurs in untreated syphilis many years after the primary infection. Causes, incidence, and risk factors: textLink Neurosyphilis occurs in 15 to 20% of all late or tertiary syphilis infections and is a progressive, life-threatening complication. There are 4 different forms of neurosyphilis: asymptomatic , meningovascular, tabes dorsalis , and general paresis Asymptomatic neurosyphilis precedes symptomatic syphilis and is present in 15% of those with latent syphilis. In this case, abnormalities may be present in the cerebrospinal fluid, but no symptoms are present. In meningovascular neurosyphilis, cranial nerve palsies and pupillary abnormalities may be present with a wide variety of symptoms. This may also cause damage to blood vessels resulting in stroke. In tabes dorsalis, progressive degeneration of the spinal cord occurs causing an inability to walk.

29. [P&S Medical Review:Apr:95] H. Houston Merritt And Neurosyphilis, Then And Now P S Medical Review Apr 1995, Vol.2, No.2 H. Houston Merritt and neurosyphilis, Thenand Now. The monograph also ended Merritt's publications on neurosyphilis. http://cpmcnet.columbia.edu/news/review/archives/medrev_v2n2_0006.html

H. Houston Merritt and Neurosyphilis, Then and Now Leonidas Stefanis, M.D. and Lewis P. Rowland, M.D. Columbia University College of Physicians and Surgeons, New York, N.Y. Houston Merritt was the Chair of Neurology at Columbia-Presbyterian from 1948 to 1967. He was Dean of the College of Physicians and Surgeons from 1958 to 1969. His legacy as a teacher of neurology extended throughout the United States because 30 of his st udents headed departments at medical centers from coast to coast. At that time, one-third of all Neurology chairs had trained with Merritt and some members of that cohort have not yet retired. Merritt also wrote a Textbook of Neurology; he was the sole author of that book for five editions. As the book increased in size with the accumulation of clinical knowledge, he reluctantly accepted the aid of others. The ninth edition of the text book was published in February 1995. Merritt's influence as teacher is still strong. on CSF, setting down the results of all of his studies. One of his students, Robert Fishman, brought the review up to da te and Fishman's book is now in its second edition.

30. Neurosyphilis neurosyphilis. There are 4 different forms of neurosyphilis asymptomatic,meningovascular, tabes dorsalis, and general paresis. http://www.rwjuhh.net/Atoz/encyclopedia/article/000703.asp

For a complete list of hospital classes and events, click here to connect to HealthConnection Online Medical Encyclopedia Encyclopedia Disease N -> Neurosyphilis Neurosyphilis Causes and Risks: Neurosyphilis occurs in 15 to 20% of all late or tertiary syphilis infections and is a progressive, life-threatening complication. There are 4 different forms of neurosyphilis: asymptomatic , meningovascular, tabes dorsalis , and general paresis Asymptomatic neurosyphilis precedes symptomatic syphilis and is present in 15% of those with latent syphilis. In this case, abnormalities may be present in the cerebrospinal fluid, but no symptoms are present. In meningovascular neurosyphilis, cranial nerve palsies and pupillary abnormalities may be present with a wide variety of symptoms. This may also cause damage to blood vessels resulting in stroke. In tabes dorsalis, progressive degeneration of the spinal cord occurs causing an inability to walk. In general paresis, paralysis tremors seizures , and mental decline occur as a result of damage to brain cells. Gummas (inflammatory lesions) may occur anywhere in the brain or spinal cord and can cause a wide variety of neurologic deficits. Syphilitic aseptic meningitis occurs as a chronic infection and may involve headaches, cognitive changes and cranial nerve abnormalities.

31. Neurosyphilis; Report Of Two Patients neurosyphilis; Report of Two Patients. Ann Med Sci 2000;92730. Keywords neurosyphilis, confusion mental, transient ischemic attack. http://ams.cu.edu.tr/January2000Vol9No1/hacer.html

Neurosyphilis; Report of Two Patients Hacer Bozdemir, MD, Lut Tamam, MD, Ali Özeren, MD, Mustafa Zeren, MD, Yakup Sarýca , MD. Purpose: Syphilis is a treatable disease provided a diagnose is made at an early stage. this way, the central nervous system complications that can be observed years after first inoculation can be avoided. Methods: In this article, two syphilis cases, one with progressive orientation disorder, another with recurrent transient ischemic episodes, were presented. Results: Severe confusional syndrome along with extrapyramidal and bilateral pyramidal irritation findings was found in the first patient. Second patient had findings of left pyramidal syndrome. Penicillin treatment of 24 million units per day was administered to both patients with positive syphilitic serologic tests for 14 days. There was no change in clinical status of the first patient after the treatment. However, second patient showed complete recovery. Conclusion: Our findings have showed the necessity of early phase intervention to avoid the infection of central nervous system by syphilis. It is apparent that neurological findings that develop at later stages of the disease might be irreversible. Ann Med Sci 2000;9:27-30

32. ENLmedical.com: Conditions And Concerns: Medical Encyclopedia: Neurosyphilis Table of content. neurosyphilis. There are 4 different forms of neurosyphilisasymptomatic , meningovascular, tabes dorsalis , and general paresis . http://www.enlmedical.com/article/000703.htm

Medical Dictionary Naturapathic Glossary Aphrodisiacs Immune System ... Table of content Neurosyphilis Causes and Risks: Neurosyphilis occurs in 15 to 20% of all late or tertiary syphilis infections and is a progressive, life-threatening complication. It occurs in men more often than women, and in whites more often than in blacks. There are 4 different forms of neurosyphilis: asymptomatic , meningovascular, tabes dorsalis , and general paresis Asymptomatic neurosyphilis precedes symptomatic syphilis and is present in 15% of those with latent syphilis. In this case, abnormalities may be present in the cerebrospinal fluid, but no symptoms are present. In meningovascular neurosyphilis, cranial nerve palsies and pupillary abnormalities may be present with a wide variety of symptoms. In tabes dorsalis, progressive degeneration of the spinal cord occurs causing inability to walk. Incidence of tabes dorsalis is 6 out of 1 million. In general paresis, paralysis tremors seizures , and mental decline occur as a result of damage to brain cells. The incidence of general paresis is 1 out of 1 million people. Stroke secondary to syphilis affects 2 out of 1 million people.

33. Welcome To ENH.org - Health Encyclopedia: Neurosyphilis neurosyphilis. neurosyphilis occurs in 15 to 20% of all late or tertiary syphilisinfections and is a progressive, lifethreatening complication. http://www.enh.org/Encyclopedia/ency/article/000703.asp

Disease Reference Injury Reference Test Reference Nutrition Reference ... Symptoms Reference Neurosyphilis Disease Injury Nutrition Poison ... Z Definition: Neurosyphilis is a slowly progressive and destructive infection of the brain or spinal cord that occurs in untreated syphilis many years after the primary infection. Causes, incidence, and risk factors: Neurosyphilis occurs in 15 to 20% of all late or tertiary syphilis infections and is a progressive, life-threatening complication. There are 4 different forms of neurosyphilis: asymptomatic , meningovascular, tabes dorsalis , and general paresis Asymptomatic neurosyphilis precedes symptomatic syphilis and is present in 15% of those with latent syphilis. In this case, abnormalities may be present in the cerebrospinal fluid, but no symptoms are present. In meningovascular neurosyphilis, cranial nerve palsies and pupillary abnormalities may be present with a wide variety of symptoms. This may also cause damage to blood vessels resulting in stroke. In tabes dorsalis, progressive degeneration of the spinal cord occurs causing an inability to walk. In general paresis

34. Health Library Find Information On Neurosyphilis At MerckSource Find information on neurosyphilis at MerckSource. Learn more aboutneurosyphilis neurosyphilis. Definition neurosyphilis is a slowly http://www.mercksource.com/pp/us/cns/cns_hl_adam.jspzQzpgzEzzSzppdocszSzuszSzcns

35. Dorlands Medical Dictionary neurosyphilis (neu·ro·syph·i·lis) (noor²osif¢ibreve-lis) neuro- + syphilisthe central nervous system manifestations of syphilis, which may be http://www.mercksource.com/pp/us/cns/cns_hl_dorlands.jspzQzpgzEzzSzppdocszSzuszS

36. NEJM -- Sign In Correspondence from The New England Journal of Medicine neurosyphilisin Patients with Human Immunodeficiency Virus Infection. http://content.nejm.org/cgi/content/full/332/17/1169

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37. NEJM -- Alteration In The Natural History Of Neurosyphilis By Concurrent Infecti Original Article from The New England Journal of Medicine Alteration in thenatural history of neurosyphilis by concurrent infection with the human http://content.nejm.org/cgi/content/short/316/25/1569

HOME SEARCH CURRENT ISSUE PAST ISSUES ... HELP Previous Volume 316:1569-1572 June 18, 1987 Number 25 Next Alteration in the natural history of neurosyphilis by concurrent infection with the human immunodeficiency virus DR Johns, M Tierney, and D Felsenstein Table of Contents Find Similar Articles in the Journal Notify a friend about this article Add to Personal Archive ... Related Articles in Medline Articles in Medline by Author: Johns, D. R. Felsenstein, D. Medline Citation Abstract This article has been cited by other articles: Fowler, V. G. Jr, Maxwell, G. L., Myers, S. A., Shea, C. R., Livengood III, C. N., Prieto, V. G., Hicks, C. B. (2001). Failure of Benzathine Penicillin in a Case of Seronegative Secondary Syphilis in a Patient With Acquired Immunodeficiency Syndrome: Case Report and Review of the Literature. Arch Dermatol [Full Text] Singh, A. E., Romanowski, B. (1999). Syphilis: Review with Emphasis on Clinical, Epidemiologic, and Some Biologic Features. Clin. Microbiol. Rev. [Abstract] [Full Text] Rolfs, R. T., Joesoef, M. R., Hendershot, E. F., Rompalo, A. M., Augenbraun, M. H., Chiu, M., Bolan, G., Johnson, S. C., French, P., Steen, E., Radolf, J. D., Larsen, S., Brady, W. E., Wagner, K. F., D'Aquilante, D. A., The Syphilis and HIV Study Group, (1997). A Randomized Trial of Enhanced Therapy for Early Syphilis in Patients with and without Human Immunodeficiency Virus Infection. N Engl J Med [Abstract] [Full Text] Gordon, S. M., Eaton, M. E., George, R., Larsen, S., Lukehart, S. A., Kuypers, J., Marra, C. M., Thompson, S. (1994). The Response of Symptomatic Neurosyphilis to High-Dose Intravenous Penicillin G in Patients with Human Immunodeficiency Virus Infection.

38. Neurosyphilis And AIDS Neurology. neurosyphilis AIDS. J Infect Dis 177 931940, 1998. There is aresurgence of neurosyphilis, especially among patients infected with HIV. http://www.mdbrowse.com/Speciality/Neurology/Neurosyphilis&Aids.htm

Home Speciality Spotlight Neurology JM Flood, HS Weinstock, ME Guroy et al (Univ of California, San Francisco; San Francisco Gen Hosp, Calif; Ctrs for Disease Control and Prevention, Atlanta, Ga): Neurosyhilis during the AIDS epidemic, San Francisco, 1985-1992. J Infect Dis 177: 931-940, 1998. There is a resurgence of neurosyphilis, especially among patients infected with HIV. In this large survey of 19,375 CSF VDRL tests performed, 117(0.6%) were newly reactive. Median patient age was 39. This is the first known report to address the burden of neurosyphilis in a population largely affected with HIV infection.

39. Neurosyphilis neurosyphilis. Date 29 Oct 2002 Time 121629 Remote Name 213.121.212.121Remote User Comments. The current guidelines give the http://www.agum.org.uk/_discopen/00000015.htm

AGUM Open Forum Home Contents Search Post ... Previous Up Neurosyphilis Date: 29 Oct 2002 Time: Remote Name: Remote User: Comments The current guidelines give the dosage of iv benzylpenicillin for neurosyphilis as 1.8 - 2.4g daily which seems to me to be a very low dose; the draft guidelines gave the dose as 18-24 megaunits daily (10.8 - 14.4g daily,)rather a significant difference. Are the current guidelines correct? Last changed: March 24, 2003

40. Re: Neurosyphilis Re neurosyphilis. Date 06 Jan 2003 Time 112347 Remote Name 195.107.47.227Remote User Comments. I note that a correction has http://www.agum.org.uk/_discopen/00000018.htm

AGUM Open Forum Home Contents Search Post ... Up Re: Neurosyphilis Date: 06 Jan 2003 Time: Remote Name: Remote User: Comments I note that a correction has been published at http://www.mssvd.org.uk/PDF/CEG2001/late%20$%20final%20b%2031%2012%2002.pdf Last changed: March 24, 2003

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