Case Report

Spinal Syphilitic Gumma: A Rare Presentation of an Old Disease

Table 3

Summary of all previously recorded cases of spinal gumma neurosyphilis in the literature [3, 11–13].

Age (gender)PresentationRadiological features

65 (F)TetraplegiaT1WI isotense, T2WI hyperintense, Gd-peripheral enhancement
40 (M)ParaplegiaT1WI isotense, Gd-ring enhancement
49 (F)ParaplegiaT1WI isotense, T2WI hyperintense, Gd-homogenous enhancement
47 (F)ParaplegiaT1WI and T2WI isotense, Gd-peripheral enhancement
25 (F)Brown-Sequard syndromeT1WI hypointense, T2WI hyperintense (isotense centre)
48 (F)Paraplegia—
51 (M)Pain, right leg weaknessGd-peripheral enhancement
51 (M)ParaplegiaT1WI hypointense, T2WI hyperintense, Gd-ring enhancement
45 (F)Brown-Sequard syndromeT1WI slight hyperintensity, T2WI hyperintense, significant
22 (M)Right leg weaknessGd-homogenous and ring enhancement
58 (M)TetraplegiaT1WI hypointense, T2WI hypointense, Gd-enhancement
46 (M)Bilateral lower limb sensory lossExtensive oedema, T2WI hyperintense periphery, hypointense