Chih-Hsiang Chiu Author

Case Report Open Access

Pisa Syndrome and Neurosyphilis: A Case Report in Taiwan

Author(s):

Ming-Kung Wu, Chih-Hsiang Chiu, Chun-Yi Su and KuanYing Hsieh

Background: Pisa syndrome, defined as more than 10 degrees tonic lateral flexion in upright spine without any significant associated vertebral rotation resembled the leaning tower of Pisa, is considered to be related to neuroleptics. Unfamiliarity of this disease, many neuro- and orthopedic surgeons can lead to unnecessary diagnostic and interventions.

Method: We report an extremely rare case of neurosyphillis presenting with PISA syndrome in order to assess the clinical presentation and treatment.

Results: A 49-year-old man, who has neurosyphillis and psychotic disorder due to general medical condition, treated by valproic acid 500 mg twice and quetiapine 200 mg once daily for as an u... view more»

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