Acute unilateral peripheral vestibulopathy in neurosyphilis
Abstract Introduction Neurosyphilis producing basal meningitis presenting as sequential transient cranial nerve palsies was well recognized before the antibiotic era. Objective To report two patients presenting with acute unilateral peripheral vestibulopathy due to syphilitic basal meningitis. Resul...
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| Veröffentlicht in: | Journal of the neurological sciences 2017-07, Vol.378, p.55-58 |
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| container_title | Journal of the neurological sciences |
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| creator | Young, Allison S Carroll, Antonia S Welgampola, Miriam S McCluskey, Peter J van Hal, Sebastian J Thompson, Elizabeth O Burn, Juliet Fulham, Michael J Halmagyi, Michael G |
| description | Abstract Introduction Neurosyphilis producing basal meningitis presenting as sequential transient cranial nerve palsies was well recognized before the antibiotic era. Objective To report two patients presenting with acute unilateral peripheral vestibulopathy due to syphilitic basal meningitis. Results In Case 1 basal meningitis occurred early in the secondary phase of the infection, in Case 2 in the late latent phase. The diagnosis was not made immediately in either case; in Case 1 after previous presentation with increasing hearing loss and then with facial palsy and then a subsequent presentation with optic neuritis; in Case 2 after investigation for possible lymphoma. Conclusion Syphilitic basal meningitis in either the secondary or in the latent phase can present as acute unilateral peripheral vestibulopathy with transient involvement of the facial or auditory nerve. |
| doi_str_mv | 10.1016/j.jns.2017.04.038 |
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Objective To report two patients presenting with acute unilateral peripheral vestibulopathy due to syphilitic basal meningitis. Results In Case 1 basal meningitis occurred early in the secondary phase of the infection, in Case 2 in the late latent phase. The diagnosis was not made immediately in either case; in Case 1 after previous presentation with increasing hearing loss and then with facial palsy and then a subsequent presentation with optic neuritis; in Case 2 after investigation for possible lymphoma. Conclusion Syphilitic basal meningitis in either the secondary or in the latent phase can present as acute unilateral peripheral vestibulopathy with transient involvement of the facial or auditory nerve.</description><identifier>ISSN: 0022-510X</identifier><identifier>EISSN: 1878-5883</identifier><identifier>DOI: 10.1016/j.jns.2017.04.038</identifier><identifier>PMID: 28566179</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Acute unilateral peripheral vestibulopathy ; Aged ; Basal meningitis ; Cranial nerve palsy ; Delayed Diagnosis ; Facial Nerve - diagnostic imaging ; Humans ; Male ; Neurology ; Neurosyphilis ; Neurosyphilis - complications ; Neurosyphilis - diagnosis ; Vestibular Function Tests ; Vestibular Neuronitis - diagnosis ; Vestibular Neuronitis - etiology</subject><ispartof>Journal of the neurological sciences, 2017-07, Vol.378, p.55-58</ispartof><rights>2017 Elsevier B.V.</rights><rights>Copyright © 2017 Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c408t-7228350b1366d4c37c2117b26c521251db38ddd02ce2de2b48c2d00e14ca2b893</citedby><cites>FETCH-LOGICAL-c408t-7228350b1366d4c37c2117b26c521251db38ddd02ce2de2b48c2d00e14ca2b893</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0022510X1730271X$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28566179$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Young, Allison S</creatorcontrib><creatorcontrib>Carroll, Antonia S</creatorcontrib><creatorcontrib>Welgampola, Miriam S</creatorcontrib><creatorcontrib>McCluskey, Peter J</creatorcontrib><creatorcontrib>van Hal, Sebastian J</creatorcontrib><creatorcontrib>Thompson, Elizabeth O</creatorcontrib><creatorcontrib>Burn, Juliet</creatorcontrib><creatorcontrib>Fulham, Michael J</creatorcontrib><creatorcontrib>Halmagyi, Michael G</creatorcontrib><title>Acute unilateral peripheral vestibulopathy in neurosyphilis</title><title>Journal of the neurological sciences</title><addtitle>J Neurol Sci</addtitle><description>Abstract Introduction Neurosyphilis producing basal meningitis presenting as sequential transient cranial nerve palsies was well recognized before the antibiotic era. Objective To report two patients presenting with acute unilateral peripheral vestibulopathy due to syphilitic basal meningitis. Results In Case 1 basal meningitis occurred early in the secondary phase of the infection, in Case 2 in the late latent phase. The diagnosis was not made immediately in either case; in Case 1 after previous presentation with increasing hearing loss and then with facial palsy and then a subsequent presentation with optic neuritis; in Case 2 after investigation for possible lymphoma. Conclusion Syphilitic basal meningitis in either the secondary or in the latent phase can present as acute unilateral peripheral vestibulopathy with transient involvement of the facial or auditory nerve.</description><subject>Acute unilateral peripheral vestibulopathy</subject><subject>Aged</subject><subject>Basal meningitis</subject><subject>Cranial nerve palsy</subject><subject>Delayed Diagnosis</subject><subject>Facial Nerve - diagnostic imaging</subject><subject>Humans</subject><subject>Male</subject><subject>Neurology</subject><subject>Neurosyphilis</subject><subject>Neurosyphilis - complications</subject><subject>Neurosyphilis - diagnosis</subject><subject>Vestibular Function Tests</subject><subject>Vestibular Neuronitis - diagnosis</subject><subject>Vestibular Neuronitis - etiology</subject><issn>0022-510X</issn><issn>1878-5883</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUFv1DAQhS0EotvCD-CC9sglYWacxI4qIVUVUKRKHACpNyuxp1oHbxLspNL--3rZwoEDp5nDe08z3xPiDUKJgM37oRzGVBKgKqEqQepnYoNa6aLWWj4XGwCioka4OxPnKQ0A0GjdvhRnpOumQdVuxOWVXRferqMP3cKxC9uZo593v9cHTovv1zDN3bI7bP24HXmNUzrMOx98eiVe3Hch8euneSF-fPr4_fqmuP36-cv11W1hK9BLoYi0rKFH2TSuslJZQlQ9NbYmpBpdL7VzDsgyOaa-0pYcAGNlO-p1Ky_Eu1PuHKdfa77J7H2yHEI38rQmgy1ULTQKKEvxJLX5zBT53szR77t4MAjmyMwMJjMzR2YGKpOZZc_bp_i137P76_gDKQsuTwLOTz54jiZZz6Nl5yPbxbjJ_zf-wz9uG_zobRd-8oHTMK1xzPQMmkQGzLdjacfOUEkghXfyETjKkY4</recordid><startdate>20170715</startdate><enddate>20170715</enddate><creator>Young, Allison S</creator><creator>Carroll, Antonia S</creator><creator>Welgampola, Miriam S</creator><creator>McCluskey, Peter J</creator><creator>van Hal, Sebastian J</creator><creator>Thompson, Elizabeth O</creator><creator>Burn, Juliet</creator><creator>Fulham, Michael J</creator><creator>Halmagyi, Michael G</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20170715</creationdate><title>Acute unilateral peripheral vestibulopathy in neurosyphilis</title><author>Young, Allison S ; Carroll, Antonia S ; Welgampola, Miriam S ; McCluskey, Peter J ; van Hal, Sebastian J ; Thompson, Elizabeth O ; Burn, Juliet ; Fulham, Michael J ; Halmagyi, Michael G</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c408t-7228350b1366d4c37c2117b26c521251db38ddd02ce2de2b48c2d00e14ca2b893</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Acute unilateral peripheral vestibulopathy</topic><topic>Aged</topic><topic>Basal meningitis</topic><topic>Cranial nerve palsy</topic><topic>Delayed Diagnosis</topic><topic>Facial Nerve - diagnostic imaging</topic><topic>Humans</topic><topic>Male</topic><topic>Neurology</topic><topic>Neurosyphilis</topic><topic>Neurosyphilis - complications</topic><topic>Neurosyphilis - diagnosis</topic><topic>Vestibular Function Tests</topic><topic>Vestibular Neuronitis - diagnosis</topic><topic>Vestibular Neuronitis - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Young, Allison S</creatorcontrib><creatorcontrib>Carroll, Antonia S</creatorcontrib><creatorcontrib>Welgampola, Miriam S</creatorcontrib><creatorcontrib>McCluskey, Peter J</creatorcontrib><creatorcontrib>van Hal, Sebastian J</creatorcontrib><creatorcontrib>Thompson, Elizabeth O</creatorcontrib><creatorcontrib>Burn, Juliet</creatorcontrib><creatorcontrib>Fulham, Michael J</creatorcontrib><creatorcontrib>Halmagyi, Michael G</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the neurological sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Young, Allison S</au><au>Carroll, Antonia S</au><au>Welgampola, Miriam S</au><au>McCluskey, Peter J</au><au>van Hal, Sebastian J</au><au>Thompson, Elizabeth O</au><au>Burn, Juliet</au><au>Fulham, Michael J</au><au>Halmagyi, Michael G</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Acute unilateral peripheral vestibulopathy in neurosyphilis</atitle><jtitle>Journal of the neurological sciences</jtitle><addtitle>J Neurol Sci</addtitle><date>2017-07-15</date><risdate>2017</risdate><volume>378</volume><spage>55</spage><epage>58</epage><pages>55-58</pages><issn>0022-510X</issn><eissn>1878-5883</eissn><abstract>Abstract Introduction Neurosyphilis producing basal meningitis presenting as sequential transient cranial nerve palsies was well recognized before the antibiotic era. Objective To report two patients presenting with acute unilateral peripheral vestibulopathy due to syphilitic basal meningitis. Results In Case 1 basal meningitis occurred early in the secondary phase of the infection, in Case 2 in the late latent phase. The diagnosis was not made immediately in either case; in Case 1 after previous presentation with increasing hearing loss and then with facial palsy and then a subsequent presentation with optic neuritis; in Case 2 after investigation for possible lymphoma. Conclusion Syphilitic basal meningitis in either the secondary or in the latent phase can present as acute unilateral peripheral vestibulopathy with transient involvement of the facial or auditory nerve.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>28566179</pmid><doi>10.1016/j.jns.2017.04.038</doi><tpages>4</tpages></addata></record> |
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| ispartof | Journal of the neurological sciences, 2017-07, Vol.378, p.55-58 |
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| subjects | Acute unilateral peripheral vestibulopathy Aged Basal meningitis Cranial nerve palsy Delayed Diagnosis Facial Nerve - diagnostic imaging Humans Male Neurology Neurosyphilis Neurosyphilis - complications Neurosyphilis - diagnosis Vestibular Function Tests Vestibular Neuronitis - diagnosis Vestibular Neuronitis - etiology |
| title | Acute unilateral peripheral vestibulopathy in neurosyphilis |
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