+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

An old flame reignites: vagal neuropathy secondary to neurosyphilis

, : An old flame reignites: vagal neuropathy secondary to neurosyphilis. Journal of Voice 28(2): 255-257

This report describes neurosyphilis presenting as vocal fold paresis and velopharyngeal incompetence. This represents the first reported case of neurosyphilis presenting as a vagal neuropathy since 1963. Case report. Review of medical records and literature search. The patient presented with voice changes and nasopharyngeal reflux of liquids. Examination showed a left vocal fold paresis and moderate velopharyngeal incompetence. Laryngeal electromyography revealed evidence of denervation, and neurologic evaluation showed bilateral Adie's pupils and a positive CSF VDRL. A remote history of syphilis treated with one intramuscular injection was obtained. The patient was treated with 6 weeks of penicillin and regained normal vocal function with minimal residual intermittent hypernasality. Given the recent increase in the incidence of syphilis in the United States, this case serves as a reminder of the importance of including syphilis in the differential diagnosis of cranial neuropathies and the increasing likelihood of syphilis presenting to otolaryngology and speech pathology practices. Syphilis, a disease whose incidence had declined progressively for 60 years in the United States, is now resurgent and must be considered in the evaluation of patients presenting with unexplained cranial neuropathies.


PMID: 24315656

DOI: 10.1016/j.jvoice.2013.08.018

Other references

Raymond Jasmin; Therrien Rene, 2008: Low-temperature geothermal potential of the flooded Gaspe mines, Quebec, Canada. The low-temperature geothermal potential of the flooded Gaspe Mines, near Murdochville, Quebec, Canada, has been estimated from a long-term pumping test and numerical groundwater flow modelling. A former mining shaft was used to pump water for 3 w...

Yokoo Yoriko; Nakano Takanori, 1998: Input of atmosphere-derived cations into andesite during chemical weathering. Annual Report of the Institute of Geoscience, University of Tsukuba 24: 39-42

Daly, F.; Spicer, N.; Willan, S., 2016: Sexual rights but not the right to health? Lesbian and bisexual women in South Africa's National Strategic Plans on HIV and STIs. Synergies between securing sexual rights and the right to health have been pursued where there are clear public health gains to be made, such as lowering incidence of HIV and other sexually transmitted infections (STI). South Africa's 1996 Co...

Lambruschini, C.; Veronesi, M.; Romeo, E.; Garau, G.; Bandiera, T.; Piomelli, D.; Scarpelli, R.; Dalvit, C., 2014: Development of fragment-based n-FABS NMR screening applied to the membrane enzyme FAAH. Despite the recognized importance of membrane proteins as pharmaceutical targets, the reliable identification of fragment hits that are able to bind these proteins is still a major challenge. Among different ¹⁹F NMR spectroscopic methods, n-flu...

Huo, T-Ia.; Lee, P-Ching.; Huang, Y-Hsiang.; Wu, J-Ching.; Lin, H-Chieh.; Chiang, J-Huei.; Lee, S-Dong., 2006: The sequential changes of the model for end-stage liver disease score correlate with the severity of liver cirrhosis in patients with hepatocellular carcinoma undergoing locoregional therapy. The model for end-stage liver disease (MELD) has been used to prioritize cirrhotic patients awaiting liver transplantation. It is not clear whether MELD correlates with liver functional reserve that changes over time. This study investigated the c...

Macmillan,. Jr.;, 1985: Aeromonas infections. Information sheet Mississippi State University Cooperative Extension Service: 85 (1261)

Richardson B.C.; Bayliss G.E.; Johnson M.A., 1990: Increased cd11a identifies an autocytotoxic t cell subset in patients with systemic lupus erythematosus. Arthritis & Rheumatism 33(9 SUPPL): S127

Pekary, A.E.; Sattin, A., 2002: Lithium and valproate increase trh receptor levels in rat brain. TRH receptor number is known to be suppressed by increased intracellular levels of protein kinase C (PKC) and protein kinase A (PKA), primarily through a cell-type specific enhancement of degradation of TRH receptor mRNA. Lithium and valproate-ind...

Vegesna R.V.K.; Diamond J., 1983: Comparison of the effects of forskolin and isoproterenol on cyclic amp levels and tension in bovine and coronary artery. Canadian Journal of Physiology & Pharmacology 61(10): 1202-1205

Bacon, W.; Lacoste, J.L., 1978: Extraoral traction of Cervera. Revue D'odonto-Stomatologie 7(6): 423-426