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Suggest Medical Tests To Rule Out Neurosyphilis
Brief Answer:
Requires csf examination too
Detailed Answer:
Hello,
I have gone through your question and understand your concerns.
Most important thing to test for neurosyphilis is suspicion.
ButyYes you are right that diagnosis of neurosyphilis require Cerebrospinal fluied examination after lumbar puncture along with clinical manifestation.
Csf may show increase in cells and protein along with anti treponemal antibodies.
What other features of syphilis are present.
Any immunodeficiency condition like HIV?
Hope you found the answer helpful.
Do get back to me for further queries.
Regards
Dr N Kumar
Neurologist
Requires csf examination too
Detailed Answer:
Hello,
I have gone through your question and understand your concerns.
Most important thing to test for neurosyphilis is suspicion.
ButyYes you are right that diagnosis of neurosyphilis require Cerebrospinal fluied examination after lumbar puncture along with clinical manifestation.
Csf may show increase in cells and protein along with anti treponemal antibodies.
What other features of syphilis are present.
Any immunodeficiency condition like HIV?
Hope you found the answer helpful.
Do get back to me for further queries.
Regards
Dr N Kumar
Neurologist
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I have had anxiety, depression, a hard time concentrating, headaches. NO contact with HIV. My neurologist ordered the VDRL , RPR, and an MRI of my brain and after that ruled out neurosyphilis. I was still concerned so my family doctor ordered the FTA-Abs test. They both said it is impossible to have neurosyphilis because if I was infected at any point it would have showed up in the FTA-Abs test.
I have been concerned that I could have been exposed to it 20 years ago. They are convinced I don't have it. Should I ensist on a CSF?? What tests should be done to the CSF?
I have been concerned that I could have been exposed to it 20 years ago. They are convinced I don't have it. Should I ensist on a CSF?? What tests should be done to the CSF?
Brief Answer:
Not require csf as symptoms are not of neurosyphilis
Detailed Answer:
Hello,
Your symptoms and investigation are not suggestive of neurosyphilis.
You should get your Thyroid and vitamin B12 tested.
Anxiolytics may be taken to help in anxiety.
Csf anti treponemal antibodies and csf routine cell count may be done if you still want to get it done.
Regards
Dr N Kumar
Neurologist
Not require csf as symptoms are not of neurosyphilis
Detailed Answer:
Hello,
Your symptoms and investigation are not suggestive of neurosyphilis.
You should get your Thyroid and vitamin B12 tested.
Anxiolytics may be taken to help in anxiety.
Csf anti treponemal antibodies and csf routine cell count may be done if you still want to get it done.
Regards
Dr N Kumar
Neurologist
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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