Orofacial Involuntary Movements in Neurosyphilis: Beyond the Candy Sign

Background: Involvement of the central nervous system in patients with syphilis (neurosyphilis) may result in several neuropsychiatric symptoms. Rarely, patients with neurosyphillis may develop movement disorders with different phenomenology. Subtle orofacial dyskinesias have been reported in patien...

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Veröffentlicht in:Tremor and other hyperkinetic movements (New York, N.Y.) N.Y.), 2017-10, Vol.7, p.507
Hauptverfasser: Lenka, Abhishek, Thota, Naveen, Stezin, Albert, Pal, Pramod Kumar, Yadav, Ravi
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container_title Tremor and other hyperkinetic movements (New York, N.Y.)
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creator Lenka, Abhishek
Thota, Naveen
Stezin, Albert
Pal, Pramod Kumar
Yadav, Ravi
description Background: Involvement of the central nervous system in patients with syphilis (neurosyphilis) may result in several neuropsychiatric symptoms. Rarely, patients with neurosyphillis may develop movement disorders with different phenomenology. Subtle orofacial dyskinesias have been reported in patients with neurosyphilis, known as the candy sign.Case Report: We describe a patient with neurosyphilis who presented with severe orofacial involuntary movements.Discussion: Our patient had orofacial movements at presentation and severity of the movements was much higher than the candy sign that has been reported in patients with neurosyphilis. This report contributes towards the ever-expanding clinical spectrum of neurosyphilis.
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subjects Ataxia
Cerebrospinal fluid
Conflicts of interest
Dyskinesia
Dystonia
Emergency services
HIV
Human immunodeficiency virus
Immune system
Infections
Magnetic resonance imaging
Meningitis
Movement disorders
Patients
Syphilis
title Orofacial Involuntary Movements in Neurosyphilis: Beyond the Candy Sign
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