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CASE REPORT
Year : 2022  |  Volume : 2  |  Issue : 4  |  Page : 915-917

Neurosyphilis masquerading as papillodema unmasked by tell-tale vitreous cells and peripapillary hemorrhages


1 Department of Ophthalmology, Bombay Hospital Institute of Medical Sciences, Mumbai, Maharashtra, India
2 Department of Neurology, Bombay Hospital Institute of Medical Sciences, Mumbai, Maharashtra, India
3 Department of Radiology, Bombay Hospital Institute of Medical Sciences, Mumbai, Maharashtra, India

Correspondence Address:
Dr. Mayur R Moreker
4th Floor, New Wing, Bombay Hospital. 12, New Marine Lines, Mumbai - 400 020, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_1537_22

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A 35-year-old lady presented with headache and diminution of vision in both eyes for 30–35 days. She was being treated for idiopathic intracranial hypertension with documented high intracranial pressures. In view of the past history of positive blood RPR and the current picture of peripapillary hemorrhage along with papillodema and telltale vitreous cells, we suspected neurosyphilis and repeated Blood-CSF TPHA, both of which were positive. She was treated with a single dose of benzathine penicillin G 1.2 MIU I.M and tablet doxycycline 100 mg twice a day for 14 days, with oral acetazolamaide, to achieve resolution of symptoms and improvement of vision.


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