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Tabes Dorsalis

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Topic updated on 01/05/16 11:21am

Introduction
  • tabes dorsalisA sequlae of tertiary syphilis resulting in spinal cord degeneration
    • preferentially involves dorsal columns and dorsal roots
Presentation
  • Symptoms
    • impaired proprioception
      • due to dorsal column destruction
      • results in ataxia specifically at night
        • cannot use visual cues
    • Charcot's joints
    • neuropathic pain
  • Physical exam
    • Argyll Robertson pupils
    • absence of DTRs
    • positive Romberg sign


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