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Spinal Cord Lesions in Congenital Toxoplasmosis Demonstrated with Neuroimaging, Including Their Successful Treatment in an Adult.
[congenital toxoplasmosis]
Neuroimaging
studies
for
persons
in
the
National
Collaborative
Chicago
-
Based
Congenital
Toxoplasmosis
Study
(
NCCCTS
)
with
symptoms
and
signs
referable
to
the
spinal
cord
were
reviewed
.
Three
infants
had
symptomatic
spinal
cord
lesions
,
another
infant
a
Chiari
malformation
,
and
another
infant
a
symptomatic
peri-
spinal
cord
lipoma
.
One
patient
had
an
unusual
history
of
prolonged
spinal
cord
symptoms
presenting
in
middle
age
.
Neuroimaging
was
used
to
establish
her
diagnosis
and
response
to
treatment
.
This
43
year
-old
woman
with
congenital
toxoplasmosis
developed
progressive
leg
spasticity
,
weakness
,
numbness
,
difficulty
walking
,
and
decreased
visual
acuity
and
color
vision
without
documented
re
-activation
of
her
chorioretinal
disease
.
At
52
years
of
age
,
spinal
cord
lesions
in
locations
correlating
with
her
symptoms
and
optic
atrophy
were
diagnosed
with
3
Tesla
MRI
scan
.
Treatment
with
pyrimethamine
and
sulfadiazine
decreased
her
neurologic
symptoms
,
improved
her
neurologic
examination
,
and
resolved
her
enhancing
spinal
cord
lesions
seen
on
MRI
.
Diseases
Validation
Diseases presenting
"weakness"
symptom
achondroplasia
adrenomyeloneuropathy
alexander disease
aniridia
aromatase deficiency
coats disease
congenital toxoplasmosis
epidermolysis bullosa simplex
esophageal adenocarcinoma
familial hypocalciuric hypercalcemia
familial mediterranean fever
focal myositis
gm1 gangliosidosis
hydrocephalus with stenosis of the aqueduct of sylvius
inclusion body myositis
locked-in syndrome
lymphangioleiomyomatosis
malignant atrophic papulosis
neuralgic amyotrophy
pendred syndrome
pleomorphic liposarcoma
pyomyositis
pyruvate dehydrogenase deficiency
sneddon syndrome
systemic capillary leak syndrome
thoracic outlet syndrome
triple a syndrome
typhoid
von hippel-lindau disease
waldenström macroglobulinemia
werner syndrome
x-linked adrenoleukodystrophy
This symptom has already been validated