Young Patient Presented with Imbalance Diagnosed as a Neurosyphilis

摘要

A 30 year old female patient was presented with a history of weakness of both lower Limbs, sense of imbalance while standing and difficulty in walking with no significant past history. Upon investigation for paraperesis, the patient found to have a positive serology for syphilis. The possibility of neurosyphilis was considered, which was later confirmed by positive serology for cerebrospinal fluid and diagnosed as tabes dorsalis. The case is lengthly discussed in this report to emphasize the presence of syphilis in 21st century and for awareness of florid manifestations of tabes dorsalis for early diagnosis and proper treatment of this disabling condition.