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S. Bakchine, MD; J. L. Mas, MD; M. G. Bousser, MD
Clinique des Maladies du Systéme Nerveux Hôpital de la Salpêtrière 47, Boulevard de l'Hôpital 75634-Paris Cedex 13, France

Arch Neurol. 1987;44(5):473.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.

—We greatly appreciated the letter by Emery et al¹ about "pseudopseudotumor," emphasizing the role of lumbar puncture in the diagnosis of pseudotumor cerebri. We wish to describe another patient whose condition would have been misdiagnosed if not for the cerebrospinal fluid (CSF) findings.

Report of a Case.

—A 34-year-old homo-sexual man was in good health until August 1985, when a generalized skin eruption developed. The patient had noticed, one month before, the appearance of a small ulceration on the prepuce, but took no care of it. The serum VDRL was positive (1:32), as was the serum Treponema pallidum hemagglutination (TPHA) (1:1280), and primary secondary syphilis was diagnosed. The patient was treated with 2.4 million units of penicillin G benzathine intramuscularly (one injection weekly during three weeks), with prompt recovery. In November, his TPHA titer had declined to a concentration of 1:320, and a VDRL test . . . [Full Text PDF of this Article]

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