Tabes Dorsalis CT: Difference between revisions

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{{Tabes dorsalis}}
{{Tabes dorsalis}}


{{CMG}}; {{AE}};{{MMJ}}{{AA}}; {{VD}}
{{CMG}};{{AE}};{{MMJ}}
==Overview==
 
==Historical Perspective==
 
==Classification==
 
==Pathophysiology==
 
==Causes==
 
==Differentiating Hereditary pancreatitis from Other Diseases==
 
==Epidemiology and Demographics==
 
==Risk Factors==
 
==Screening==
 
==Natural History, Complications, and Prognosis==
 
 
==Diagnosis==
===Diagnostic Study of Choice===
 
===History and Symptoms===
 
===Physical Examination===
 
===Laboratory Findings===
 
===Electrocardiogram===
 
===X-ray===
 
===Echocardiography and Ultrasound===
 
===CT scan===
 
===MRI===
 
===Other Imaging Findings===
 
===Other Diagnostic Studies===


==Overview==
==Treatment==
===Medical Therapy===
 
===Surgery===


Spinal [[Computed tomography|CT scan]] may be helpful in the diagnosis of tabes dorsalis. Findings on [[CT scan]] suggestive of of [[neurosyphilis]] include [[calcification]] in the soft tissues(posterior to the cord in [[cervical spine]] [[CT scan]]), [[ankylosis]] across the C4–5 disc and facet joints bilateral, areas of decreased density suggesting cerebral infarction, syphilitic [[gumma]] appear hypodense with precontrast, focal or diffuse extra-axial enhancement and non-specific white matter lesions.
===Primary Prevention===


==CT scan==
===Secondary Prevention===
Spinal [[Computed tomography|CT scan]] may be helpful in the diagnosis of tabes dorsalis. Findings on [[CT scan]] suggestive of of [[neurosyphilis]] include:<ref name="SalemMajeed2012">{{cite journal|last1=Salem|first1=K. M. I.|last2=Majeed|first2=H.|last3=Bommireddy|first3=R.|last4=Klezl|first4=Z.|title=Tertiary Syphilis in the Cervical Spine: A Case Report and Review of the Literature|journal=Global Spine Journal|volume=3|issue=1|year=2012|pages=041–046|issn=2192-5682|doi=10.1055/s-0032-1329887}}</ref><ref name="pmid7611026">{{cite journal| author=Brightbill TC, Ihmeidan IH, Post MJ, Berger JR, Katz DA| title=Neurosyphilis in HIV-positive and HIV-negative patients: neuroimaging findings. | journal=AJNR Am J Neuroradiol | year= 1995 | volume= 16 | issue= 4 | pages= 703-11 | pmid=7611026 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=7611026  }} </ref><ref name="pmid17628376">{{cite journal| author=Peng F, Hu X, Zhong X, Wei Q, Jiang Y, Bao J et al.| title=CT and MR findings in HIV-negative neurosyphilis. | journal=Eur J Radiol | year= 2008 | volume= 66 | issue= 1 | pages= 1-6 | pmid=17628376 | doi=10.1016/j.ejrad.2007.05.018 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17628376  }} </ref>
* [[Calcification]] in the soft tissues posterior to the cord in [[cervical spine]] [[CT scan]]


*[[Ankylosis]] across the C4–5 disc and facet joints bilaterally
*Areas of decreased density suggesting cerebral infarction
*Syphilitic [[gumma]] appear hypodense with precontrast
*Focal or diffuse extra-axial enhancement
*Non-specific white matter lesions
==References==
==References==
{{Reflist|2}}
{{reflist|2}}


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Revision as of 20:02, 16 February 2018

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: ;Mohamadmostafa Jahansouz M.D.[2]

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Hereditary pancreatitis from Other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications, and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X-ray

Echocardiography and Ultrasound

CT scan

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

References


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