Abstract
A 56-year-old male patient who had history of sexual exposure 28 years back was referred by the Department of General Medicine as he was not responding to treatment for spastic paraplegia and was venereal disease research laboratory (VDRL) reactive. The patient had characteristic clinical features of tabes dorsalis except Charcot's arthropathy, dribbling incontinence and visceral crises. Serum VDRL was 1:32 and cerebrospinal fluid (CSF) VDRL was 1:4. CSF analysis showed increased lymphocytes and protein. Though tabes dorsalis is a rarity now compared to the pre-antibiotic era, one may come across few cases presenting with variable manifestations, more so in the era of human immunodeficiency virus infection. Therefore, awareness of the florid manifestations of tabes dorsalis is necessary for early diagnosis and proper treatment of this disabling condition.
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