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- Taiji Mukai, Keiichi Hokkoku, Takatoshi Kitazawa, Hiroshi Oba, Yuki Hatanaka, Sonoo Masahiro, and Shunsuke Kobayashi.
- Department of Neurology, Teikyo University School of Medicine, Japan.
- Intern. Med. 2024 Aug 8.
AbstractWe herein report a case of neurosyphilis that presented with isolated bilateral abducens nerve palsy. A 39-year-old man was referred to our department with diplopia. He had a history of homosexual relationships and showed only bilateral abducens nerve palsy upon a neurological examination. Positive syphilis tests in the serum and cerebrospinal fluid and a contrasting effect on the abducens nerve on magnetic resonance imaging (MRI) confirmed the diagnosis of active neurosyphilis. When a patient manifests isolated abducens nerve palsy, neurosyphilis can be a differential diagnosis, although rare, and contrast-enhanced MRI may help diagnose the disease.
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