Logo image
Incipient Syphilitic Papillitis
Journal article   Peer reviewed

Incipient Syphilitic Papillitis

John J Chen, M. Tariq Bhatti, Elizabeth Bradley, James Garrity and Matthew J Thurtell
Neuro-ophthalmology (Amsterdam : Aeolus Press. 1980), Vol.44(1), pp.11-15
01/02/2020
DOI: 10.1080/01658107.2019.1615959
PMID: 32076443
url
https://www.ncbi.nlm.nih.gov/pmc/articles/6999641View
Open Access

Abstract

Patients with syphilis can present with optic disc oedema (ODE) without visual compromise, which has been primarily attributed to papilloedema from raised intracranial pressure or optic perineuritis from optic nerve sheath inflammation. We report four cases of ODE in the setting of syphilis with preserved visual function, normal intracranial pressure, and no enhancement of the optic nerve or sheath on magnetic resonance imaging. We propose the term "incipient syphilitic papillitis" for cases presenting with ODE, preserved vision and absence of optic nerve sheath enhancement, which is likely a more common presentation than syphilitic optic perineuritis. Keywords: Syphilis; optic perineuritis; papillitis.

Details

Metrics

Logo image