{
  "abstract": "Syphilis is a multisystem infectious disorder with a myriad of neurological complications, although myelitis is rare. A 29-year-old man presented with sudden onset bilateral leg weakness, back pain and urinary retention. He had a flaccid, areflexic paraplegia with a T10 sensory level but preserved joint position and vibration sense. MR scan of the spine showed a longitudinally extensive myelitis with characteristic ‘candle guttering’ appearance and ‘flip-flop’ sign. Syphilis serology was positive in the serum and cerebrospinal fluid. There was a dramatic response to corticosteroids and antimicrobial treatment, which was sustained at follow-up. We encourage the consideration of neurosyphilis in the setting of hyperacute cord syndromes.",
  "authors": [
    {
      "affiliations": [
        "Neurology, King’s College Hospital NHS Foundation Trust, London, England, UK"
      ],
      "name": "Milo Patrick Delaney"
    },
    {
      "affiliations": [
        "Neurology, King’s College Hospital NHS Foundation Trust, London, England, UK"
      ],
      "name": "Shiran Ajith Paranavitane"
    },
    {
      "affiliations": [
        "Caldecot Centre, King’s College Hospital NHS Foundation Trust, London, England, UK"
      ],
      "name": "Larissa Mulka"
    },
    {
      "affiliations": [
        "Neuroradiology, King’s College Hospital NHS Foundation Trust, London, England, UK"
      ],
      "name": "Julie Chandra"
    },
    {
      "affiliations": [
        "Caldecot Centre, King’s College Hospital NHS Foundation Trust, London, England, UK"
      ],
      "name": "Elizabeth Hamlyn"
    },
    {
      "affiliations": [
        "Neurology, King’s College Hospital NHS Foundation Trust, London, England, UK"
      ],
      "name": "Eli Silber"
    }
  ],
  "title": "Neurosyphilis-related myelitis",
  "uid": "9388de3b-3228-54f4-81e1-43c3f7dd6282"
}