ID Miscellany|Exams|Signs|Humanities #idmesh
1/5
πππ©π―ππ π―π€π£ππ¨
Unusual pattern of sensory loss in neurosyphilis (tabes dorsalis):
βͺοΈ central face (tip of nose)
βͺοΈ band on the trunk (nipple area)
βͺοΈ medial forearms (when ulnar nerve pressed at elbow)
βͺοΈ lateral leg
2/5
It is a physical exam finding lost in antiquity.
Tabes dorsalis was the most common form of neurosyphilis in the pre-antibiotic era but today, it is extremely rare (longest latency period between primary infection & SSx).
karger.com/Article/FullTeβ¦
3/5
Tabes dorsalis involves posterior columns/dorsal roots.
βͺοΈ wide-based gait, foot slap (worse in the dark)
βͺοΈ +Rombergs, absent knee/ankle DTRs
βͺοΈ vibration/proprio loss
βͺοΈ lancinating paints
βͺοΈ Charcot joint/ulcer
βͺοΈ Argyll-Robterson pupil (another #idmesh topic)
4/5
Named after Eduard Hitzig (6 February 1838 β 20 August 1907), a German neurologist & neuropsychiatrist who was one of the first people to map out the motor and sensory areas of the brain.
5/5
The archived section of our medial libraries probably has the best resources on tabes dorsalis. But here is one from Google, published in 1936:
google.com/url?sa=t&rct=jβ¦
Share this Scrolly Tale with your friends.
A Scrolly Tale is a new way to read Twitter threads with a more visually immersive experience.
Discover more beautiful Scrolly Tales like this.