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A Case Report

Marc Fisher, MD; Charles M. Poser, MD

Arch Neurol. 1977;34(12):785.

Abstract
• A 58-year-old man was admitted with a progressive, subacute asymmetrical paraparesis. The patient denied a previous syphilitic infection, but spinal fluid examination disclosed a lymphocytic pleocytosis, hypoglycorrhachia, and a positive serologic test for syphilis. Clinical improvement resulted from a 14-day course of penicillin. Syphilitic involvement of the nervous system appears to be increasing in the United States and should be included in the differential diagnosis of progressive paraparesis.

Author Affiliations
From the Department of Neurology, College of Medicine, University of Vermont, Burlington, VT.

Footnotes
Accepted for publication June 10, 1977.

Reprint requests to the Department of Neurology, DeGoesbriand Unit, Medical Center Hospital of Vermont, Burlington, VT 05401 (Dr Fisher).