Neurological syphilis
ICD-10 A52.3 is a billable code used to indicate a diagnosis of neurological syphilis.
Neurological syphilis is a manifestation of syphilis that affects the central nervous system (CNS). It can occur at any stage of syphilis, but is most commonly seen in late syphilis. The condition can present with a variety of neurological symptoms, including but not limited to, meningitis, encephalitis, and tabes dorsalis, which is characterized by degeneration of the spinal cord. Patients may experience headaches, visual disturbances, cognitive dysfunction, and motor deficits. Diagnosis typically involves serological testing for Treponema pallidum, the causative agent of syphilis, along with lumbar puncture to analyze cerebrospinal fluid (CSF) for signs of infection or inflammation. Treatment primarily involves the administration of high-dose penicillin, which is effective in eradicating the infection and preventing further neurological damage. Early detection and treatment are crucial to minimize long-term complications associated with neurological syphilis.
Detailed history of syphilis infection, treatment history, and neurological assessment.
Patients presenting with neurological symptoms and a history of syphilis.
Ensure all serological tests and CSF analysis results are documented.
Comprehensive neurological examination findings and diagnostic imaging results.
Patients with cognitive decline or motor deficits linked to syphilis.
Document any differential diagnoses considered during evaluation.
Used to confirm syphilis diagnosis in patients with neurological symptoms.
Document the reason for testing and results.
Infectious disease specialists should ensure comprehensive testing.
Common symptoms include headaches, cognitive dysfunction, visual disturbances, and motor deficits. Patients may also experience seizures or changes in behavior.
