Tabes Dorsalis or Locomotor atrophy

Tabes dorsalis is a complication of untreated syphilis that involves muscle weakness and abnormal sensations. Causes Tabes dorsalis is a form of neurosyphilis, which is a complication of late stage syphilis infection. Syphilis is a bacterial infection that is spread sexually. When syphilis is untreated, the bacteria damages the spinal cord and peripheral nervous tissue. This leads to the symptoms of tabes dorsalis. Tabes dorsalis is now very rare because syphilis is usually treated early in the disease. SYMPTOMS Collapse Section Symptoms has been expanded. Symptoms of tabes dorsalis are caused by damage to the nervous system. Symptoms include any of the following: Abnormal sensations (paresthesia), often called "lightning pains" Problems walking such as with the legs far apart Loss of coordination and reflexes Joint damage, especially of the knees Muscle weakness Vision changes Bladder control problems Sexual function problems TREATMENT Collapse Section Treatment has been expanded. The goals of treatment are to cure the infection and slow the disease. Treating the infection helps prevent new nerve damage and may reduce symptoms. Treatment does not reverse existing nerve damage. Medicines likely to be given include: Penicillin or other antibiotics for a long time to make sure the infection goes away Painkillers to control pain Symptoms of existing nervous system damage need to be treated. People who are unable to eat, dress themselves, or take care of themselves may need help. Rehabilitation, physical therapy, and occupational therapy may help with muscle weakness.