Dersleri yüzünden oldukça stresli bir ruh haline sikiş hikayeleri bürünüp özel matematik dersinden önce rahatlayabilmek için amatör pornolar kendisini yatak odasına kapatan genç adam telefonundan porno resimleri açtığı porno filmini keyifle seyir ederek yatağını mobil porno okşar ruh dinlendirici olduğunu iddia ettikleri özel sex resim bir masaj salonunda çalışan genç masör hem sağlık hem de huzur sikiş için gelip masaj yaptıracak olan kadını gördüğünde porn nutku tutulur tüm gün boyu seksi lezbiyenleri sikiş dikizleyerek onları en savunmasız anlarında fotoğraflayan azılı erkek lavaboya geçerek fotoğraflara bakıp koca yarağını keyifle okşamaya başlar

GET THE APP

Chiari Type 1 Malformation Presenting as Red Herring in Neurosyphilis | OMICS International| Abstract
E-ISSN: 2314-7326
P-ISSN: 2314-7334

Journal of Neuroinfectious Diseases
Open Access

Our Group organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations
700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)
  • Case Report   
  • J Neuroinfect Dis,

Chiari Type 1 Malformation Presenting as Red Herring in Neurosyphilis

Daniyal Matin Ansari*, Khairul A Aizad, Wan Chung and Ravindran Vashu
St George’s Hospital Medical School, London, United Kingdom
*Corresponding Author : Daniyal Matin Ansari, St George’s Hospital Medical School, London, United Kingdom, Tel: +443267952639, Email: m1801861@sgul.ac.uk

Received Date: Jul 09, 2020 / Accepted Date: Jul 23, 2020 / Published Date: Jul 30, 2020

Abstract

30-year-old male who presented with urinary retention and gradually worsening bilateral lower limb weakness, but this was missed. Initially treated as urinary infection, subsequent visits earned him a Magnetic resonance Imaging (MRI) that revealed T2 hyper intensity and low-lying cerebellar tonsils. Further evaluation by consultant revealed discordant findings to Chiari malformation. Subsequent investigation led to the diagnosis of Neurosyphilis. Importance of senior input, understanding of disease complex, lateral thinking, multidisciplinary involvement and prompt intervention prove central to the management of this patient whom otherwise may have been treated dangerously and inappropriately as symptomatic Chiari malformation.

Keywords: Red Herring; Chiari Type 1 Malformation; Neurosyphilis

Citation: Ansari DM, Aizad KA, Chung W, Vashu R (2020) Chiari Type 1 Malformation Presenting as Red Herring in Neurosyphilis. J Neuroinfect Dis 11:293.

Copyright: © 2020 Ansari DM, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Top