BROWN-SÉQUARD SYNDROME AS A MANIFESTATION OF SYPHILITIC NEURORECURRENCE

Abstract

Although syphilis, according to Oppenheim 1 and others, is not infrequently responsible for the causation of the Brown-Sequard syndrome, we have been able to find no instance on record in which the syndrome has been the manifestation of syphilitic neurorecurrence involving the spinal meninges—that is to say, the manifestation of an acute syphilitic meningitis following the lapse of treatment with arsphenamine in a case of early syphilis which originally had no clinical or serologic signs of involvement of the central nervous system. In view of this fact, the following case is reported. REPORT OF CASE Clinical History. —A Chinese soldier, aged 39, presented himself at the Peiping Union Medical College Hospital, on Sept. 22, 1928, complaining of a genital sore of more than two months' duration. Examination at that time revealed a solitary, deep, nontender and indurated lesion about 1.5 cm. in diameter in the coronary sulcus. In the intergluteal fold