Tabes dorsalis
ICD-10 A52.11 is a billable code used to indicate a diagnosis of tabes dorsalis.
Tabes dorsalis is a late manifestation of syphilis, characterized by degeneration of the dorsal columns of the spinal cord, leading to sensory ataxia, loss of deep tendon reflexes, and impaired proprioception. Patients may experience severe pain, particularly in the lower limbs, and may present with a characteristic gait disturbance known as 'tabetic gait.' The condition arises from untreated syphilis, typically occurring years after the initial infection. Neurological symptoms may include lightning pains, urinary incontinence, and Argyll Robertson pupils, which are non-reactive to light but constrict during accommodation. Diagnosis is primarily clinical, supported by serological tests for syphilis, such as the RPR or VDRL tests, and confirmation through treponemal tests. Treatment involves the administration of penicillin, which can halt the progression of the disease but may not reverse existing neurological damage. Early detection and treatment of syphilis are crucial in preventing tabes dorsalis and other complications.
Detailed neurological examination findings, including sensory and motor assessments.
Patients presenting with gait disturbances, neuropathic pain, or sensory loss.
Documentation must clearly establish the link between neurological symptoms and syphilis.
Serological test results, treatment plans, and follow-up care details.
Patients with a history of syphilis presenting with neurological symptoms.
Emphasis on the importance of early detection and treatment of syphilis.
Used when assessing cognitive function in patients with neurological symptoms.
Detailed report of cognitive assessments and findings.
Neurologists should document the rationale for testing in the context of tabes dorsalis.
Primary symptoms include sensory ataxia, loss of deep tendon reflexes, severe pain, and urinary incontinence. Patients may also exhibit Argyll Robertson pupils.
