What are the symptoms of neurosyphilis?

Neurosyphilis is a disease caused by Treponema pallidum (Treponema pallidum) infecting the nervous system. It is divided into two types: congenital and acquired syphilis. So, what are the symptoms of neurosyphilis?

The syphilis pathogen can invade the nervous system several months after infecting the body, but most patients often develop neurological damage for several years to decades. Common types of neurosyphilis are:

1. Paralysis and dementia

After the syphilis pathogen enters the central nervous system adult shop , the asymptomatic period is 3 to 45 years, with an average of 15 years. The age range at which symptoms occur is 30 to 60 years old, with 35 to 45 years old being particularly common. The first symptom of covert disease is often mental disorders. In the early stages, personality changes, anxiety, excitement or suppression of withdrawal, untidy appearance, increasingly serious decline in memory, calculation, and cognition, disturbance of temporal and spatial orientation, euphoria and exaggeration are often prominent. As the mental disorder worsens, Ailuo's pupil (Argyll-Robertson's pupil, bilateral pupils are unequal in size best dildo , the pupil is as small as a needle tip, the edges are irregular, the response to light is extremely slow or disappears, and the visual adjustment response is present) can be seen. When small or large tremors affect the muscles of the face, lips, tongue, and limbs dildo vibrator , they can lead to slurred speech, difficulty writing, and mobility. In addition, they can be complicated by ischemic stroke and seizures. If symptoms continue to progress, the outcome is dementia, spastic paralysis, or de-cortication.

2. tabes

The lesions were mainly the posterior funiculus and posterior roots of the spinal cord. Loss or even disappearance of deep sensation in the lower limbs, leading to cotton-like feeling, sensory ataxia girl using vibrator , cross-threshold gait, inability to induce tendon reflexes, and overflowing urinary incontinence. Most patients have severe pain caused by flash in Ailuo's pupils and limbs. Impotence is common in male patients. Some patients may have Charcot joints (swelling, painless, intraarticular fluid and excessive activity) and visceral crises (gastric crises are most common, manifested as paroxysmal abdominal pain and persistent vomiting, which needs to be differentiated from acute abdomen).

3. Meningeal vascular syphilis

Either mainly meningeal damage, or mainly cerebrovascular damage. The main cause of meningeal damage is syphilitic meningitis. The onset can be acute or slow. Common symptoms include headache, vomiting, neck rigidity, positive meningeal irritation sign, cranial nerve paralysis and seizures; obstruction of cerebrospinal fluid circulation can cause optic papilla edema and elevated intracranial pressure. Syphilitic arteritis can cause fusiform aneurysms and cerebral thrombosis.

4. Congenital neurosyphilis

It is more common in children with early congenital syphilis who develop symptoms before the age of 4. Common nerve lesions include syphilis tumors and cerebral thrombosis.
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