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Answer :
1- Sensory Ataxia
2- occasional pain
3- urinary incontinence (neurogenic)
4- Irregular pubil (#Argyll_robertson pupil) : miotic, irregular and responsive to accommodation but not to
light.
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Spot_diagnosis :
TAPES DORSALIS ( tertiary syphilis)
Neurodegenerative disease caused by an infection (
treponema pallidium), affect the dorsal clomn ( epicritic sensations) and dorsal root ganglia ( pain and areflexia), history of past exposure to syphilis is usually present ( homosexuals and multiple partners are at risk I.e. An
STD ).
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Treatment:
Intravenous
Penicillin for 10-14 day.
Vitamin B12 deficiency :
1- posterior clomn degeneration : sensory Ataxia
2- lateral clomn degeneration : weakness and motor Ataxia
1+2 = subacute combined cord degeneration.
Vitamin B1 deficiency :
- wernickle /Korsakkof : Occulomotor dysfunction with normal pupils
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Source :
Uworld
