Tags

Type your tag names separated by a space and hit enter

Neurosyphilis presenting as visually asymptomatic bilateral optic perineuritis.
BMJ Case Rep. 2019 Dec 22; 12(12)BC

Abstract

A 39-year-old Caucasian man presented with headaches and retro-orbital pain but normal vision. Bilateral optic nerve swelling was found on funduscopy though optic nerve function and computed perimetry were normal and there was no relative afferent pupillary defect. CT venogram and MRI were unremarkable. Cerebrospinal fluid (CSF) opening pressure was normal on lumbar puncture and Treponema pallidum antibodies and T. pallidum particle agglutination test were positive on CSF analysis. He tested negative for HIV. Symptoms rapidly resolved with 2 weeks of intravenous benzylpenicillin. At 1 month follow-up, the right optic nerve swelling had reduced while the left optic nerve swelling had increased; his vision remained unaffected and he was symptom free and continued to have no objective evidence of optic nerve dysfunction.

Authors+Show Affiliations

Ophthalmology, Sydney Eye Hospital, Sydney, New South Wales, Australia jasonyosar@gmail.com.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

31871011

Citation

Yosar, Jason. "Neurosyphilis Presenting as Visually Asymptomatic Bilateral Optic Perineuritis." BMJ Case Reports, vol. 12, no. 12, 2019.
Yosar J. Neurosyphilis presenting as visually asymptomatic bilateral optic perineuritis. BMJ Case Rep. 2019;12(12).
Yosar, J. (2019). Neurosyphilis presenting as visually asymptomatic bilateral optic perineuritis. BMJ Case Reports, 12(12). https://doi.org/10.1136/bcr-2019-232520
Yosar J. Neurosyphilis Presenting as Visually Asymptomatic Bilateral Optic Perineuritis. BMJ Case Rep. 2019 Dec 22;12(12) PubMed PMID: 31871011.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Neurosyphilis presenting as visually asymptomatic bilateral optic perineuritis. A1 - Yosar,Jason, Y1 - 2019/12/22/ PY - 2019/12/25/entrez PY - 2019/12/25/pubmed PY - 2020/5/19/medline KW - syphilis KW - visual pathway JF - BMJ case reports JO - BMJ Case Rep VL - 12 IS - 12 N2 - A 39-year-old Caucasian man presented with headaches and retro-orbital pain but normal vision. Bilateral optic nerve swelling was found on funduscopy though optic nerve function and computed perimetry were normal and there was no relative afferent pupillary defect. CT venogram and MRI were unremarkable. Cerebrospinal fluid (CSF) opening pressure was normal on lumbar puncture and Treponema pallidum antibodies and T. pallidum particle agglutination test were positive on CSF analysis. He tested negative for HIV. Symptoms rapidly resolved with 2 weeks of intravenous benzylpenicillin. At 1 month follow-up, the right optic nerve swelling had reduced while the left optic nerve swelling had increased; his vision remained unaffected and he was symptom free and continued to have no objective evidence of optic nerve dysfunction. SN - 1757-790X UR - https://www.unboundmedicine.com/medline/citation/31871011/Neurosyphilis_presenting_as_visually_asymptomatic_bilateral_optic_perineuritis_ L2 - https://casereports.bmj.com/lookup/pmidlookup?view=long&pmid=31871011 DB - PRIME DP - Unbound Medicine ER -