Tabes
Tabes dorsalis is a late manifestation of untreated syphilis that involves progressive degeneration of the spinal cord. It is characterized by sharp, stabbing pains, lack of coordination, and progressive weakness.
Signs and Symptoms[edit | edit source]
The symptoms of tabes dorsalis, like those of other forms of neurosyphilis, may not appear for many years after the initial infection. The most common symptoms include:
- Ataxia or unsteady gait
- Paresthesia or abnormal sensations in the skin
- Severe, stabbing pains
- Loss of muscle coordination
- Progressive muscle weakness
Causes[edit | edit source]
Tabes dorsalis is caused by the bacterium Treponema pallidum, which also causes syphilis. The bacterium damages the spinal cord and peripheral nerves, leading to the symptoms of the disease.
Diagnosis[edit | edit source]
Diagnosis of tabes dorsalis involves a physical examination and a review of the patient's medical history. Tests that may be done include:
- Blood tests to check for syphilis
- Lumbar puncture to check for signs of infection in the spinal fluid
- MRI or CT scan to check for damage to the spinal cord
Treatment[edit | edit source]
Treatment for tabes dorsalis involves antibiotics to kill the syphilis bacteria. Pain management and physical therapy may also be needed to manage symptoms.
Prognosis[edit | edit source]
With early diagnosis and treatment, the prognosis for tabes dorsalis is good. However, if left untreated, the disease can lead to severe disability and even death.
See Also[edit | edit source]
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Contributors: Prab R. Tumpati, MD