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Teaching NeuroImages: Gummatous neurosyphilis

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A 29-year-old HIV-infected man, on antiretroviral treatment with negative viral load and a low CD4+ T-cell count (344/mm3), presented with right eyelid ptosis and diplopia. On examination, right pupil was… Click to show full abstract

A 29-year-old HIV-infected man, on antiretroviral treatment with negative viral load and a low CD4+ T-cell count (344/mm3), presented with right eyelid ptosis and diplopia. On examination, right pupil was dilated, without reaction to light or accommodation. Extraocular movements were impaired in all directions, except abduction.

Keywords: neurology; neuroimages gummatous; gummatous neurosyphilis; teaching neuroimages

Journal Title: Neurology
Year Published: 2018

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