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Neurosífilis

• Información general
• Síntomas
• Tratamiento
• Prevención

Síntomas:

• Dolor de cabeza
• Cuello rígido
• Irritabilidad
• Concentración deficiente
• Confusión mental
• Depresión
• Trastornos visuales
• Reflejos anormales
• Marcha anormal (caminar)
• Incontinencia
• Demencia
• Debilidad, entumecimiento de las extremidades inferiores
• Pérdida de la función muscular
• Contracciones musculares
• Atrofia muscular

Nota: es posible que no se presenten síntomas.

Signos y exámenes:

Se pueden llevar a cabo exámenes de sangre para detectar sustancias producidas por las bacterias que causan la sífilis ; el VDRL es el examen más antiguo.

En la neurosífilis, es importante analizar el líquido cefalorraquídeo para buscar signos de sífilis. Los exámenes para buscar problemas en el sistema nervioso pueden ser:

• Punción lumbar y análisis de LCR
• TC craneal
• IRM del cerebro, tronco encefálico o médula espinal
• Angiografía cerebral

Referencias:

Mandell GL, Bennett JE, Dolin R. Principles and Practice of Infectious Diseases . 6th ed. London: Churchill Livingstone; 2005:2274-2276.

U.S. Preventive Services Task Force. Screening for Syphilis Infection: Recommendation Statement. Ann Fam Med 2004; 2: 362-365.

• Fecha de revisión: 3/5/2007
• Versión en inglés revisada por: Daniel Kantor, M.D., Director of the Comprehensive MS Center, Neuroscience Institute, University of Florida Health Science Center, Jacksonville, FL. Review provided by VeriMed Healthcare Network.
• Traducción y localización realizada por: DrTango, Inc.

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